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.