Information for prescription—Act, s 58 (3) and s 59 (3)
14 Information for prescription—Act, s 58 (3) and s 59 (3)
The following information is prescribed:
the prescriber’s name, business address and telephone number;
the day the prescription is issued;
the name, date of birth, home address and telephone number of the individual for whom the approved substance is prescribed;
the approved substance, and the form, strength and quantity of the substance, to be dispensed under the prescription;
a statement that the prescription is for a medicine intended to be used for voluntary assisted dying;
a statement certifying that—
the request and assessment process for the individual is complete; and
the individual has made an administration decision;
whether the individual has a practitioner administration decision or self-administration decision in effect when the prescription is issued;
a statement, endorsed by the prescriber’s signature, acknowledging that the prescription was issued by the prescriber.
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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