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Authorised Prescriber - agreement to treat form

Summary

Agreement to treatment directions authorisation of prescribers under section 19(5) or section 41HC of the therapeutic goods Act 1989.

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Owner:
Clinical Networks and Service Development,
Integrated Care,
Wellbeing, Integrated Care and Ageing,
Department of Health
50 Lonsdale Street,
Melbourne, Victoria, 3000
Telephone: (61 3) 9096 9000