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reg 14

Information for prescription—Act, s 58 (3) and s 59 (3)

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Part 3Accessing voluntary assisted dying and death

14 Information for prescription—Act, s 58 (3) and s 59 (3)

(1)

The following information is prescribed:

(a)

the prescriber’s name, business address and telephone number;

(b)

the day the prescription is issued;

(c)

the name, date of birth, home address and telephone number of the individual for whom the approved substance is prescribed;

(d)

the approved substance, and the form, strength and quantity of the substance, to be dispensed under the prescription;

(e)

a statement that the prescription is for a medicine intended to be used for voluntary assisted dying;

(f)

a statement certifying that—

(i)

the request and assessment process for the individual is complete; and

(ii)

the individual has made an administration decision;

(g)

whether the individual has a practitioner administration decision or self-administration decision in effect when the prescription is issued;

(h)

a statement, endorsed by the prescriber’s signature, acknowledging that the prescription was issued by the prescriber.

(2)

For this section, a request and assessment process for an individual is complete if the individual’s coordinating practitioner has prepared a final assessment report for the individual under the Act, section 36 (2).

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