Western Australian Current Acts

VOLUNTARY ASSISTED DYING ACT 2019 - SECT 22

22 .         Medical practitioner to notify Board of first request

        (1)         Within 2 business days after deciding to accept or refuse the first request, the medical practitioner must complete the approved form (the first request form ) and give a copy of it to the Board.

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

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

            (b)         the name and contact details of the medical practitioner;

            (c)         the date when the first request was made;

            (d)         whether the first request was made in person or using audiovisual communication and whether it was made verbally or in another way (for example, by gestures);

            (e)         the medical practitioner’s decision to accept or refuse the first request;

            (f)         if the medical practitioner’s decision is to refuse the first request, the reason for the refusal;

            (g)         the date when the medical practitioner informed the patient of the practitioner’s decision and gave the patient the information referred to in section 20(4)(b);

            (h)         the signature of the medical practitioner and the date when the form was signed.