NSWIn ForceAct
Voluntary Assisted Dying Act 2022
78Authorised supplier to record and notify of supply
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#### 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).
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> > (2) The authorised supply form must include the following—
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> > > (a) the patient’s name, date of birth and contact details,
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> > > (b) the authorised supplier’s name and contact details,
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> > > (c) a statement certifying that the prescribed substance was supplied,
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> > > (d) the name and contact details of the person to whom the prescribed substance was supplied,
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> > > (e) the date the prescribed substance was supplied,
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> > > (f) a statement certifying that the requirements under sections 75, 76 and 77 were complied with,
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> > > (g) the authorised supplier’s signature and the date the form was signed.
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> > (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.
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> > Maximum penalty—100 penalty units.