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Medical Assistance in Dying Record of Assessment (Assessor)Page 1 of 2 PATIENT LABELRetain with related forms in the health record. Prescriber to submit copies to an agency tasked with completing
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How to fill out medical assistance in dying

01
To fill out medical assistance in dying, follow these steps:
02
Discuss with your doctor: Start by talking to your doctor about your wish to pursue medical assistance in dying. They will provide you with information about the process and help determine your eligibility.
03
Eligibility assessment: Your doctor will assess your eligibility for medical assistance in dying based on the legal requirements and guidelines. This may involve evaluating your medical condition, prognosis, and mental capacity.
04
Written request: If you are deemed eligible, you will need to provide a written request for medical assistance in dying. Your doctor will guide you on how to fill out the necessary forms and documents.
05
Second assessment: A second doctor or nurse practitioner must independently assess your eligibility and provide confirmation. They will review your medical records and meet with you to ensure you fully understand the implications of your decision.
06
Waiting period: In most jurisdictions, there is a mandatory waiting period of at least 10 days between your initial request and the administration of medical assistance in dying. This waiting period allows you to have additional discussions and reflection.
07
Administering medical assistance in dying: Once all the requirements are met and the waiting period has passed, your doctor will administer medical assistance in dying according to the agreed plan.
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Follow-up care: After the procedure, appropriate medical follow-up and support will be provided to manage any potential complications and to ensure your well-being.

Who needs medical assistance in dying?

01
Medical assistance in dying is available for individuals who meet certain criteria, including but not limited to:
02
- Adults who have a grievous and irremediable medical condition that causes intolerable suffering, with a reasonably foreseeable natural death.
03
- Patients who have the mental capacity to make informed decisions about their health and the choice of medical assistance in dying.
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- Individuals who are capable of providing informed consent throughout the process and can communicate their wishes.
05
It is important to note that the specific eligibility criteria may vary depending on the jurisdiction and the legal framework governing medical assistance in dying.
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Medical assistance in dying is a legal option for individuals who are suffering from grievous and irremediable medical conditions and wish to end their life with the help of a doctor.
In Canada, medical practitioners who provide medical assistance in dying are required to file reports with the appropriate authorities.
Medical practitioners must follow specific guidelines and procedures set out by the government when filling out reports for medical assistance in dying cases.
The purpose of medical assistance in dying is to provide a compassionate option for individuals who are experiencing intolerable suffering and wish to have control over their end-of-life decisions.
Medical practitioners must report details about the patient, the medical condition, the decision-making process, and the administration of medical assistance in dying.
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