Making a declaration about your fitness to practise

Use the form at the bottom of this page to tell us about any issues which may affect your fitness to practise if you are a pharmacist or pharmacy technician registered with us, currently in training, or applying to join our register.

You can use this form to tell us about issues including:

  • cautions or convictions and other criminal offence outcomes
  • investigations or fitness to practise proceedings with other regulatory bodies

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

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 health declaration form

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, if you have one

How we use your information and next steps

All the information you provide will help us to make a decision on how to deal with your declaration. You can find out more in our privacy policy.

When you have submitted your declaration, you will receive an email to confirm that we have received it. This will include a reference number which you can use if you need to contact us about your declaration. 

Once we have reviewed your declaration, we will be in touch to let you know about the outcome and any next steps.

Fitness to practise declaration

  • Current About you
  • About your employer or training provider
  • Fitness to practise proceedings
  • Criminal proceedings
  • Attachments
  • Declarations
  • Summary
  • Complete

About you

Are you: (this is required)

are_you

This is required

Important: when you submit your declaration, you will receive a confirmation email with your declaration submission number. If you are submitting an application, make sure you save this email and include it with your application so we can add your declaration.

What are you declaring? (This is required)

declaration_type

This is required

If you have a health matters to declare, please use 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 (this is required)

Name

Address 1

Address 2

City/Town

UK  post code

Country

Do you have any specific communication needs?
Let us know if you've got extra communication needs. This is required

Details on extra communication needs

Include details of anything we might be able to do that will make it easier for you to talk to us. We will consider all reasonable suggestions.

How will we use the information you provide

Before advancing to the next section of the form, please see our privacy policy for more details on how we will use the information you provide.

Last updated 28/10/2024