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ATTENDING PRACTITIONER’S CREMATION CERTIFICATE

ATTENDING practitioner 'S CREMATION CERTIFICATE . PUBLIC HEALTH REGULATION, 2012 Clause 81. My name is .. (Full name in block letters). I am a registered medical practitioner in Australia. I am informed that an application has been made or is to be made for the CREMATION of the remains of .. (Name of deceased). of .. (Last address of deceased). I am the ATTENDING practitioner because: I attended the person immediately before, or during, the illness terminating in their death;. OR. As no such practitioner is available, or it is not practical for them to issue the CREMATION CERTIFICATE : (i) I have reviewed the dead person's medical record, AND. (ii) I am a member of staff of the hospital where the death occurred, or work at the same general practice as a medical practitioner who attended the person immediately before, or during, the illness terminating in their death. (cross out which does not apply above). AND. I have seen the body after death and am satisfied as to the identity of the body.

I am a registered medical practitioner in Australia. I am informed that an application has been made or is to be made for the cremation of the remains of ... Sudden death without apparent cause With disability requiring support service/s No medical practitioner review in the six months prior In police custody Unexpected outcome of a medical ...

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  Medical, Certificate, Practitioner, Registered, Disability, Medical practitioners, Registered medical practitioner

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