Get the free Medical Assistance in Dying (MAID) - nshealth

Label Medical Assistance in Dying (MAID) First Physician / Nurse Practitioner Assessment Patient Information: First Name: Surname: Date of Birth: YYY / mm / dd Age: NS HAN: Family Physician: Diagnosis:

How to fill out medical assistance in dying

How to fill out medical assistance in dying:

1. Contact your healthcare provider or physician to initiate the process. They will provide you with the necessary forms and information.
2. Review the eligibility criteria to ensure that you meet the requirements for medical assistance in dying. This usually includes being of sound mind, having a serious and incurable illness or disability, experiencing intolerable suffering, and being in a state of advanced decline with a foreseeable death.
3. Complete the required forms accurately and thoroughly. This typically includes information about your medical condition, your wishes regarding medical assistance in dying, and any advance directives or substitute decision-makers you have designated.
4. If you have any questions or concerns, don't hesitate to reach out to your healthcare provider or physician for clarification and guidance throughout the process.
5. Once your forms are completed, submit them according to the instructions provided by your healthcare provider or physician. They may need to be signed by you, witnesses, and your healthcare provider.
6. Your healthcare provider will now review your application and assess your eligibility for medical assistance in dying. This may involve consulting with other healthcare professionals and reviewing your medical records.
7. If you are deemed eligible, your healthcare provider will schedule a date for the administration of medical assistance in dying. They will discuss the process with you and answer any questions or concerns you may have.
8. On the scheduled date, the medical team will administer the medication(s) in accordance with your wishes. Family members or loved ones may be present if desired.
9. After the procedure, your healthcare provider will ensure that your death certificate accurately reflects your cause of death as "medical assistance in dying."

Who needs medical assistance in dying:

1. Individuals who have a serious and incurable illness or disability that is causing intolerable suffering and is in an advanced stage of decline with a foreseeable death.
2. Individuals who are mentally competent and have the ability to make informed decisions about their own healthcare and end-of-life choices.
3. Individuals who have explored all other treatment options and have found them to be ineffective or insufficient in alleviating their suffering.
4. It is important to note that the eligibility criteria for medical assistance in dying may vary depending on the country, state, or region where it is legalized. It is essential to consult the specific laws and regulations governing medical assistance in dying in your jurisdiction.

For pdfFiller’s FAQs

What is medical assistance in dying?

Medical assistance in dying (MAiD) is a legal practice that allows a person to receive assistance in ending their life.

Who is required to file medical assistance in dying?

The medical practitioner or nurse practitioner who provides or prescribes medical assistance in dying is required to file the necessary forms.

How to fill out medical assistance in dying?

To fill out medical assistance in dying forms, the medical practitioner must accurately document the patient's request, assessments, and the process followed to provide the assistance.

What is the purpose of medical assistance in dying?

The purpose of medical assistance in dying is to provide terminally ill patients with the option to end their suffering in a compassionate manner.

What information must be reported on medical assistance in dying?

The information that must be reported includes the patient's request for MAiD, assessments, consent, medications provided, and the date of the procedure.

How can I get medical assistance in dying?

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