Address: ….….….….….….….….….….….….….….….….….….….….….….….….….….….….….….….….….…. 5 ….….….….….….….….….….….….….….….….….….….….….….….….….….….….….….….….….…. 6 Signed: Dated: SCHEDULE 2 (introduced by section 8(3)(a)) M EDICAL PRACTITIONERS ’ ASSESSMENTS : FORM OF STATEMENTS 10 Coordinating registered medical practitioner’s statement 11 1 ……. …. …. …. …. …. …. …. …....