51Coordinating practitioner to notify Board of final request

51 Coordinating practitioner to notify Board of final request

51 Coordinating practitioner to notify Board of final request

(1) Within 5 business days after receiving a final request made by a patient, the patient’s coordinating practitioner must—

(a) complete the approved form (the final request form), and

(b) give a copy of the final request form to the Board.

Maximum penalty—100 penalty units.

(2) The final request form must include the following—

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

(b) the coordinating practitioner’s name and contact details,

(c) the date the first request was made,

(d) the date the final request was made,

(e) whether the final request was made in person or using audiovisual communication,

(f) whether the final request was made verbally or in another way,

(g) if the patient was assisted by an interpreter when making the final request—the interpreter’s name, contact details and accreditation details,

(h) if the final request was made before the end of the designated period—the reason for the final request being made before the end of the period,

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