128LForm and use of prescription

#### 128L Form and use of prescription 128L Form and use of prescription > > (1) A prescription for a voluntary assisted dying substance to be used for a purpose under the [Voluntary Assisted Dying Act 2022](/view/html/inforce/current/act-2022-017) must include— > > > > > (a) the date on which the prescription is issued, and > > > > > (b) the following details for the patient— > > > > > > > (i) name, > > > > > > > (ii) date of birth, > > > > > > > (iii) address, > > > > > > > (iv) identification number, and > > > > > (c) the name, strength and quantity of the voluntary assisted dying substance to be supplied, and > > > > > (d) adequate directions for use of the voluntary assisted dying substance, and > > > > > (e) the following details for the coordinating practitioner who issued the prescription— > > > > > > > (i) name, > > > > > > > (ii) telephone number, > > > > > > > (iii) practice address, > > > > > > > (iv) identification number, and > > > > > (f) the coordinating practitioner’s signature. > > > > Maximum penalty—20 penalty units. > > > > Note— > > > > See also the [Voluntary Assisted Dying Act 2022](/view/html/inforce/current/act-2022-017), section 74, which sets out certain mandatory matters for a prescription for a voluntary assisted dying substance. > > > (2) Despite another provision of this regulation, if other substances are prescribed for a patient to assist in the administration of the voluntary assisted dying substance, the same prescription may be used for— > > > > > (a) the voluntary assisted dying substance, and > > > > > (b) the other substances. > > > (3) In this clause— > > > > identification number means— > > > > > (a) for a coordinating practitioner—the identification number given to the practitioner by the Voluntary Assisted Dying Board, or > > > > > (b) for a patient—the identification number given to the patient by the Voluntary Assisted Dying Board. > > > > Voluntary Assisted Dying Board means the Voluntary Assisted Dying Board established by the [Voluntary Assisted Dying Act 2022](/view/html/inforce/current/act-2022-017), section 134. > > **cl 128L:** Ins 2016 (409), Sch 1 \[9\]. Rep 2018 (655), Sch 1 \[21\]. Ins 2023 (548), Sch 1\[6\].