Controlled Drugs Self-Assessment and Declaration Form

Overview

DoH Controlled Drugs (CD) Accountable Officer (AO) has a legal responsibility to seek assurance that all CDs are managed appropriately across primary care, including by individual GPs. Please complete the CD Self-Assessment and Declaration below.

Refer to the cover letter for further background to this self-assessment and declaration, and supporting information including Frequently Asked Questions (FAQs), which may be helpful in completing this form. Appendix 1 of the letter shows common examples of CDs in each Schedule (S).

Note:  No patient/carer identifiable information should be included in the responses.