Voluntary Assisted Dying Act 2019

Within 2 business days after receiving a final request made by a patient, the coordinating practitioner for the patient must complete the approved form (the final request form) and give a copy of it to the Board.

The final request form must include the following —

the name, date of birth and contact details of the patient;

the name and contact details of the coordinating practitioner;

the date when the first request was made;

the date when the final request was made;

whether the final request was made in person or using audiovisual communication and whether it was made verbally or in another way;

if the patient was assisted by an interpreter when making the final request, the name, contact details and accreditation details of the interpreter;

if the final request was made before the end of the designated period as defined in section 48(1), the reason for it being made before the end of that period;

the signature of the coordinating practitioner and the date when the form was signed.