By filling in Form 8 of THOA Rules – see Annexure 2 or G.O. (Ms) No. 75 of 03.03.2008 in Annexure 3. Four doctors should sign this certificate:
- RMO, ARMO, Duty RMO, RMP in charge of the Hospital or RMP Head of the Institution.
- RMP (Physician, Surgeon or Intensivist) from a panel of names nominated by the Hospital and approved by the Appropriate Authority
- Neurologist or Neuro-Surgeon from a panel of names nominated by the Hospital and approved by the Appropriate Authority
- RMP / Doctor on duty treating the patient
Of these, Doctor 2 or Doctor 3 should carry out the First and Second Medical Examinations specified in Form 8, with a time gap of minimum six hours between the two examinations. A guideline for carrying out one of the specified tests, the Apnea test, is provided in G.O. (Ms) No. 75 of 03.03.2008. See Annexure 3.
Hospitals need to send a list of names, along with the medical registration certificates of the doctors to be approved as Doctors 2 and 3 to the Director of Medical Services and Rural Health (DMS) who is the Appropriate Authority for the State. The DMS will respond quickly approving the panel of names. There is no need to get approvals for Doctors 1 and 4. Transplant hospitals that do not have their own Neurologist / Neuro-Surgeons can use the services of an approved Doctor 3 from any other hospital for purposes of Form 8.