(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
name, date of birth and contact details of the patient;
(b) the
name and contact details of the authorised supplier;
(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 when the prescribed substance was supplied;
(f) a
statement certifying that the requirements under sections 72 and 73 were
complied with;
(g) the
signature of the authorised supplier and the date when the form was signed.
(3) Within 2 business
days after supplying the prescribed substance, the authorised supplier must
give a copy of the completed authorised supply form to the Board.