78Authorised supplier to record and notify of supply

#### 78 Authorised supplier to record and notify of supply 78 Authorised supplier to record and notify of supply > > (1) An authorised supplier who supplies a prescribed substance must immediately complete the approved form (the authorised supply form). > > > (2) The authorised supply form must include the following— > > > > > (a) the patient’s name, date of birth and contact details, > > > > > (b) the authorised supplier’s name and contact details, > > > > > (c) a statement certifying that the prescribed substance was supplied, > > > > > (d) the name and contact details of the person to whom the prescribed substance was supplied, > > > > > (e) the date the prescribed substance was supplied, > > > > > (f) a statement certifying that the requirements under sections 75, 76 and 77 were complied with, > > > > > (g) the authorised supplier’s signature and the date the form was signed. > > > (3) Within 5 business days after supplying the prescribed substance, the authorised supplier must give a copy of the completed authorised supply form to the Board. > > > > Maximum penalty—100 penalty units.