Alert HSV to a product supply issue

Use this form to notify HSV of issues that may impact supply of medical or pharmaceutical products for Victorian public health services.

Please provide as much relevant information as possible so we can assess, investigate and address the issue efficiently.

Your input helps us identify potential disruptions, assess their impact, and coordinate appropriate responses to minimise risks to patient care.

Your details

Your name

Organisation

Phone number

Email address (required)

Supply alert

Supplier name (required)

What is the nature of the supply alert? (required)

Please list (or attach a file with information on) Product Ordering Part Number, Description, and ARTG Number, if known

Which HSV collective agreement is the product(s) covered by? (required)

Product category or subcategory (required)

Do you have a mitigation plan is in place? Please provide details (required)

How much supply do you have on hand (weeks covered)? (required)

What is the expected duration of the supply issue? (required)

Upload product information