Fitness to practise declarations

You can use this form if you are a pharmacist or pharmacy technician registered with us to tell us about any issues which may affect your fitness to practise, including:

  • cautions or convictions
  • investigations or fitness to practise proceedings with other regulatory bodies
  • issues connected with your academic or training career.

You do not need to declare fixed penalty notices for offences such as speeding.

Use this form for ad-hoc declarations. Do not use it as part of your annual renewal. You should renew your registration using myGPhC.

If you have already declared a matter as part of your application to the register or your annual renewal, you do not need to declare it again unless something has changed.

If you need to tell us about a health issue which may affect your fitness to practise, use the form on the ‘Health declarations’ page.  

If you are applying to join our register and have an issue which may affect your fitness to practise, contact our Registrations Department on info@pharmacyregulation.org.

Please make sure that the information you give on this form is as accurate and detailed as possible.

What you need to give us:

  • as much detail as you can about the issue you are declaring
  • details of your employer or training provider
This form is for pharmacists and pharmacy technicians already on our register. If you are applying to join our register and have an issue which may affect your fitness to practise, contact our registration department on info@pharmacyregulation.org or 020 3713 8000.
Type of declaration
Health matters should be declared on our health declarations form
This form is for declaring fitness to practise matters or cautions and convictions only. If you have another matter which you think you might need to declare, contact our Registrations department on info@pharmacyregulation.org or 020 3713 8000.
Your Details
Employer or training provider details

Please give us the contact details of your employer or training provider.

Fitness to practise proceedings
Criminal proceedings

Please give the details of the court at which you received the conviction, bindover or conditional discharge, etc.