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This form must be used to report a lost, stolen or destroyed medicine register for an S8 safe or approved store to the chief executive pursuant to section 218 of the Medicines and Poisons (Medicines) Regulation 2021 (MPMR).
You may be contacted by an inspector appointed under the Medicines and Poisons Act 2019 or an authorised delegate of the chief executive to require further information and/or for auditing/inspection purposes relevant to this notice.
If, at this stage, you are not able to provide all the information in this notice, under section 218 of the MPMR you must give as much information as possible and you can provide any additional information or a follow-up notice at a later date.
This notice is managed by Medicines Compliance. If you require assistance in completing this form, please email: MedicinesCompliance@health.qld.gov.au
Personal information collected by Queensland Health is handled in accordance with the Information Privacy Act 2009. Queensland Health is collecting your personal information on this approved form under authority of section 218 of the MPMR. All personal information will be securely stored and only accessible by Queensland Health staff. Your personal information will not be disclosed to other third parties without consent, unless the disclosure is authorised or required under law. Failure to provide information may render the form incomplete, which may constitute an offence under the Medicines and Poisons Act 2019. For information about how Queensland Health protects your personal information, or to learn about your right to access your own personal information, please see our website at www.health.qld.gov.au/global/privacy.