I.-The declaration mentioned in article R. 1413-68 consists of two parts.
II-The first part is sent without delay by one of the persons mentioned in the same article. It includes :
1° The nature of the event and the circumstances in which it occurred or, failing that, was observed ;
2° A statement of the initial measures taken locally for the benefit of the patient and to prevent the recurrence of similar events;
3° Information given to the patient and, where appropriate, to his family, close friends or the trusted support person he has designated.
III -The second part is sent within three months by the legal representative of the healthcare establishment or medico-social establishment or service where the event occurred, or by the reporting healthcare professional. It includes:
1° A description of how the event was managed ;
2° Feedback from the in-depth analysis of the causes of the event carried out by the healthcare professionals concerned with the help of the regional support structure for healthcare quality and patient safety referred to in article R. 1413-74;
3° A corrective action plan including deadlines for implementation and evaluation.