Code of Colorado Regulations
1000 - Department of Public Health and Environment
1006 - Center for Health and Environmental Data (1006, 1009 Series)
6 CCR 1009-4 - REPORTING AND COLLECTING MEDICAL AID-IN-DYING MEDICATION INFORMATION
Section 6 CCR 1009-4-III - Requirements for Reporting Dispensing Record Information to the Department
Universal Citation: 1000 CO Code Regs 6 CCR 1009-4-III
Current through Register Vol. 47, No. 5, March 10, 2024
A. Pursuant to Section 25-48-111(2)(b), C.R.S., within 10 calendar days of dispensing medication pursuant to the Act, the health care provider dispensing a medical aid-in-dying medication shall submit to the Department a completed, signed and dated copy of the dispensing record. The health care provider shall submit, in the form prescribed by the Department, the following:
1. Patient's name
and date of birth;
2. Prescribing
physician's name and phone number;
3. Dispensing health care provider's name,
address and phone number;
4.
Medication dispensed and quantity;
5. Date the prescription was written,
and;
6. Date the medication was
dispensed.
B. All information submitted pursuant to this Section III will be submitted by mail or secure e-mail as directed by the Department.
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