Consolidated Statutes and Regulations
Consolidated Statutes
Consolidated Regulations
Annual Statutes and Regulations
Annual Statutes
Annual Regulations
Additional information
Québec Official Publisher
What’s new?
Information note
Policy of the Minister of Justice
Laws: Amendments
Laws: Provisions not in force
Laws: Provisions brought into force
Annual Statutes: PDF versions since 1996
Regulations: Amendments
Annual Regulations: PDF versions since 1996
Court Decisions
P-10, r. 14 - Regulation respecting the disposal of medications and poisons following the permanent closing of a pharmacy
Schedule
Versions
FORM A
(s. 2.02)
_________________________________________________________________________________
| |
| (Seal of the Order) |
| |
| THE ORDRE DES PHARMACIENS DU QUÉBEC |
| |
| Remittance of medications and poisons other than controlled substances and |
| controlled drugs to an authorized person by a pharmacist permanently closing |
| his pharmacy |
| |
| I, the undersigned, Mr, Ms .................................................... |
| (name) (given name) |
| |
| pharmacist, practising my profession at ....................................... |
| (address) |
| |
| ............................................................................... |
| (street) (municipality) (telephone) |
| |
| give notice to the secretary of the Order that on............................., |
| (day) (month) (year) |
| |
| I concluded an agreement with Mr, Ms .......................................... |
| (name) (give name) |
| |
| ............... domiciled at and practising his (her) profession at............ |
| (profession) |
| |
| ............................................................................... |
| (address) (street) (municipality) (telephone) |
| |
| or (in the case of a wholesaler, a hospital, etc.) with ....................... |
| |
| ................................................................., located at |
| (name of institution) |
| |
| ............................................................................... |
| (address) (street) (municipality) (telephone) |
| |
| in order to dispose of all or part (indicate percentage..%) of the medications |
| and poisons, other than controlled substances and controlled drugs, in my |
| possession on the date fixed for the permanent closing of my pharmacy. |
| |
| I certify that, to my knowledge, the acquirer hereinabove mentioned is a |
| person authorized under the Act to possess and sell the said medications |
| and poisons. |
| |
| |
| |
| ..................................... |
| signature of pharmacist-vendor |
| |
| Date: ..................20...... |
| ________________________________________________________________________________|
