Application to become an authorised nurse prescriber and receive a prescriber number form (HW097)

Use this form to apply to become an authorised nurse prescriber and receive a prescriber number.

Download and complete the Application to become an authorised nurse prescriber and receive a prescriber number form.

You can also apply to become an authorised nurse prescriber and receive a prescriber number using Health Professional Online Services (HPOS).

When applying online, you’ll need a PRODA account to use HPOS.

Page last updated: 1 October 2026.
QC 84628