Set Up Your Account

By signing the above list Resident here by agree to the following:

• Michael Vasili Chemist will act as the primary supplier of medication and pharmaceuticals services for the above named resident whilst they reside at the facility.
• To pay all pharmacy costs whilst (above named) reside in the facility.
• To allow the pharmacy to provide generic brand medication where applicable.
• To allow the pharmacy staff t act as the agent for signing prescriptions.

I understand that the information provided to the pharmacy is to be used for the purpose of supplying medication and to ensure that all entitlements are received under the Pharmaceutical Benefits Schedule. It is a requirement of state legislation that the pharmacy verify the information prior to commencing supply of your medication and to ensure you receive your entitlements. From time to time the pharmacy may need to provide some information to other healthcare service providers.

Michael Vasili Chemist (hereinafter referred to as “the Supplier”). In consideration of the Supplier supplying goods to the Resident (hereinafter referred to as “the Customer”), hereby guarantees and indemnifies the Supplier due and punctual payment by the Customer of monies which become payable by the Customer to the Supplier for goods supplied to the Customer and it is hereby further agreed as follows;