Department of Health

Notification of a temporary interstate transfer of a patient on opioid replacement therapy (ORT) to a Victorian pharmacy

This form should be used by a pharmacist in Victoria to notify the department when the pharmacist dispenses ORT for a patient from a prescription written by an interstate doctor.

Details

Topic
Forms and templates
Date published
30 Jun 2015
Size
1
Author
Department of Health & Human Services
Language
English
Update frequency
Annually
Available format
PDF

Reviewed 05 October 2015

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