Prescribed information reporting form (an Approved Form)

The Chief Health Officer has approved a prescribed information reporting form.

This form can be downloaded from the Department of Health website.

All completed forms must be sent to: WomensHealth.DoH@nt.gov.au

PO Box 40596 Casuarina NT 0811

  1. This information is available as a factsheet.
  2. A prescribed information reporting form has been developed to assist medical practitioners and their organisations to meet their reporting requirements.
  3. For more information, see the Northern Territory Clinical Guidelines for Termination of Pregnancy.

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Last updated: 30 June 2017