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Information for written notice about receipt of approved substance received for disposal—Act, s 73 (2) (b)

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Part 3Accessing voluntary assisted dying and death

24 Information for written notice about receipt of approved substance received for disposal—Act, s 73 (2) (b)

The following information is prescribed:

(a)

the name of the approved disposer;

(b)

the name of the person who gave the approved substance to the approved disposer (if known);

(c)

the day the approved disposer received the approved substance;

(d)

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

(e)

a statement, endorsed by the approved disposer’s signature, acknowledging the truth of the information in the written record;

(f)

the day the approved disposer signed the written record.

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