5. The Minister of Health and Social Services makes a form available to every physician who administers medical aid in dying enabling the physician to fulfill the obligation provided for in section 1.
The form must be designed in such a way that the physician may seal the information constituting the component referred to in paragraph 2 of section 2 in a manner that prevents the members of the Commission from consulting the information. The members of the Commission may consult the information only in the circumstances provided for in sections 9 and 13.