Voluntary Assisted Dying Act 2022

The coordinating practitioner must inform the patient of the outcome of the first assessment as soon as practicable after its completion.

Within 5 business days after completing the first assessment, the coordinating practitioner must—

complete the approved form (the first assessment report form), and

give a copy of the first assessment report form to the Board.

As soon as practicable after completing the first assessment report form, the coordinating practitioner must give a copy of the form to the patient.

The first assessment report form must include the following—

the patient’s name, date of birth and contact details,

the following information about the patient—

gender,

nationality,

ethnicity,

whether the patient has a disability and, if so, details of the disability,

whether the patient’s first language is a language other than English,

whether the coordinating practitioner engaged an interpreter in accordance with section 176(2) to communicate the information in section 28(1) and (4) to the patient,

the coordinating practitioner’s name and contact details,

a statement confirming the coordinating practitioner meets the requirements of section 18,

the date the first request was made,

the date the first assessment was completed,

the outcome of the first assessment, including the coordinating practitioner’s decision about each of the eligibility criteria,

the date the patient was informed of the outcome of the first assessment,

if the patient was referred under section 26(2) or 27(2)—the outcome of the referral, including a copy of a report given by the registered health practitioner or other person to whom the patient was referred,

if the patient was assisted by an interpreter when having the first assessment—the interpreter’s name, contact details and accreditation details,

the palliative care and treatment options available to the patient and the likely outcomes of the care and treatment,

a statement confirming the patient has been advised of the palliative care and treatment options available to the patient and the likely outcomes of the care and treatment,

a statement confirming the patient has been advised it is unlawful for a person to apply pressure or duress on the patient to request voluntary assisted dying or to continue the request and assessment process,

a statement confirming the coordinating practitioner has asked the patient whether the patient has experienced pressure or duress to request access to voluntary assisted dying from a person who is a beneficiary under the patient’s will or may otherwise benefit financially or in another material way from the patient’s death,

a statement confirming the coordinating practitioner has acted in accordance with guidelines under section 181 in relation to the following matters—

deciding whether to refer the patient to a specialist under section 26,

deciding whether to refer the patient to a psychiatrist, another registered health practitioner or another person under section 27,

a statement confirming the coordinating practitioner has acted in accordance with guidelines under section 181 in determining whether the patient has experienced pressure or duress to request access to voluntary assisted dying,

the coordinating practitioner’s signature and the date the form was signed.