Application for Authority to Prescribe a Schedule 8 Drug Pain Management: Fill out & sign online

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How to use or fill out Application for Authority to Prescribe a Schedule 8 Drug Pain Management

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Click ‘Get Form’ to open it in the editor.
Begin with Section A: Prescriber details. Fill in your name, practice name, address, contact information, and AHPRA registration number. Ensure all fields are completed accurately.
Proceed to Section B: Patient details. Enter the patient's full name, residential address, date of birth, and sex. Indicate if the patient is drug dependent and any concerns regarding their drug use.
In Section C: Drug authorisation details, list the drugs being prescribed along with their total oMEDD and maximum daily doses. If unsure about dosages, specify frequency instead.
Complete Section D: Diagnostic criteria by providing diagnosis details and prognosis. Confirm if the patient is enrolled in an Opioid Treatment Program (OTP) and attach necessary reports.
Fill out Sections E and F regarding injectable opioids and pain management details as applicable. Provide information on current medications and treatment plans.
Finally, sign the declaration in Section G confirming that all provided information is accurate before submitting your application.

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