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 B
(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) | | |
| ............................................ domiciled at ..................... |
| (profession) (address) |
| |
| ............................................................................... |
| (street) (municipality) (telephone) |
| |
| and practising my profession at................................................ |
| (address) (street) |
| |
| ............................................. or (in the case of a wholesaler, |
| (municipality) (telephone) |
| |
| a hospital, etc.), Mr, Ms ..................................................... |
| (name) (given name) |
| |
| ...................................................................employee of |
| (function within the institution concerned) |
| |
| ................................................................... located at |
| (name of institution) |
| |
| ............................................................................... |
| (address) (street) (municipality) (telephone) |
| |
| hereby declare that I have concluded an agreement with Mr, Ms ................. |
| |
| ............................................................................... |
| (name) (given name) |
| |
| pharmacist, practising his (her) profession at ................................ |
| |
| ............................................................................... |
| (address) (street) (municipality) (telephone) |
| |
| on .................................................., in order to acquire all |
| (day) (month) (year) |
| |
| or part (indicate the percentage.....%) of the medications and poisons, other |
| than controlled substances and controlled drugs, in his (her) possession on the |
| date fixed for the permanent closing of his (her) pharmacy. |
| |
| And I declare that I am a person authorized under the Act to possess and sell |
| the said medications and poisons. |
| |
| |
| |
| |
| |
| ................................... |
| signature of the acquirer |
| |
| Date: .................20...... |
|_________________________________________________________________________________|
