Printable patient resources

Information authorised voluntary assisted dying practitioners need to provide to the person as they work their way through the voluntary assisted dying process.

The quick reference guidance for authorised practitioners (PDF 182 kB) gives an overview of the approved forms, patient information and medical record documentation at each stage in the process.

Review and assessment

First request

Mandatory

  • Approved first request information (PDF 1027 kB)—Queensland Health approved information that a medical practitioner is required under the Voluntary Assisted Dying Act 2021 to give to a person when they accept their first request to access voluntary assisted dying.

Optional

First assessment

Mandatory

Optional

Consulting assessment

Mandatory

Optional

Second request

Mandatory

  • Pre-filled Second Request Form—once completed in the QVAD Review Board IMS.

Optional

Final request

No resources.

Final review

Mandatory

  • Copy of Final Review Form—once completed in the QVAD Review Board IMS.

Administration of the voluntary assisted dying substance

Administration decision

Mandatory

  • Information about substances for self-administration—this is provided to authorised voluntary assisted dying practitioners with the prescription and administration protocols. It is not publicly accessible.
  • Information about substances for practitioner administration—this is provided to authorised voluntary assisted dying practitioners with the prescription and administration protocols. It is not publicly accessible.

Appoint a contact person

Mandatory

  • Pre-filled Contact Person Appointment Form—once completed in the QVAD Review Board IMS.

Optional

Provided by the Voluntary Assisted Dying Review Board

  • Information for the contact person—information provided to the contact person by the Review Board if a self-administration decision has been made. It is not publicly accessible.

Prescription

No resources.

Supply

Provided by QVAD-Pharmacy

  • Information about voluntary assisted dying substances for self-administration—this is provided to the person by the pharmacist when the voluntary assisted dying substance is supplied. It includes how to store, prepare and administer the substance. It is not publicly accessible.

Administration of the substance

Self-administration

No resources.

Practitioner administration

Mandatory

Pre-filled Practitioner Administration Form—to be signed by the witness to practitioner administration.

Optional

After the person dies

Disposal

Self-administration

Provided by the Voluntary Assisted Dying Review Board
  • Information for the contact person—information provided to the contact person by the Review Board if a self-administration decision has been made. It is not publicly accessible.

Practitioner administration

No resources.

Death notification

Optional

Role transfers

No resources.

Last updated: 6 February 2024