Get Au Application For Authority To Prescribe A Schedule 8 Drug – Pain Management 2019-2025

Filling out the AU Application For Authority To Prescribe A Schedule 8 Drug – Pain Management online can be a straightforward process if you follow the right steps. This guide is designed to assist users in completing the application accurately and effectively.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the form and open it in your preferred digital format.
2. In Section A, provide the prescriber details. Fill in your first names, family name, practice name, and contact information including address, postcode, telephone, fax, email, AHPRA registration number, and specialty or field.
3. Move to Section B, where you will input the patient details. Record the patient's first names, family name, any known aliases, residential address, date of birth, sex, and whether they are considered drug dependent.
4. Continue in Section B by indicating any concerns regarding the patient, such as past or current IV drug use, drug-seeking behavior, drug misuse, or lost prescriptions.
5. In Section C, detail the drug authorisation information. Specify the drugs to be prescribed along with their Total Oral Equivalent Daily Dose (oMEDD) and maximum daily dose. Include information for each drug separately.
6. Section D requires the diagnostic criteria and additional management information. Please indicate the diagnosis, prognosis, and status of the patient regarding the Opioid Treatment Program.
7. Fill in Section E if applicable, indicating whether you are applying to prescribe an injectable opioid and who will administer the treatment.
8. In Section F, provide details of the pain management regimen, including current medications, prior medication trials, and non-pharmacological treatments that have been attempted.
9. Complete Section G by signing and dating the declaration, confirming the information provided is accurate.
10. Once all sections are complete, review the form for accuracy before saving the changes. You can then download, print, or share the completed application as required.

Start filling out your application online today to ensure timely processing.