Australian Capital Territory Numbered Acts

DRUGS OF DEPENDENCE (AMENDMENT) ACT (NO. 45 OF 1993) - SECT 11

11. Schedule 4 to the Principal Act is amended by inserting after Form 2 the following Form:

    Form 2A     Section 101

METHADONE REGISTER

Institution and location ¹     ..........

Strength ²     Form ²     Reconciliation amount ³    

Quantity of methadone removed from dispensary ¹     Quantity of methadone returned to dispensary ³    

Signature of administrator ³     Signature of witness ³    

Date 4	Patient's name	Time of administration	Name of prescriber	Dose	Balance 5	Name of administrator	Name of witness

1.     Complete at beginning of shift.

2.     One strength, one form only per page of register.

3.     Complete at end of shift.

4.     Date of administration.

5.     Quantity of the drug still held.