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Get the free Medical Assistance in Dying - Health Care Professionals - MOH - Ontario

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Specialist Assessment For Medical Assistance in Dying Patient Name Date of Birth(yyyymmdd)Personal Health Number (PhD) This information is collected under the authority of sections 20, 21, 22(2)(d)
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How to fill out medical assistance in dying

01
Start by contacting a healthcare professional who is qualified and authorized to provide medical assistance in dying.
02
Discuss your request for medical assistance in dying with the healthcare professional, including your reasons and wishes.
03
The healthcare professional will assess your eligibility for medical assistance in dying based on legal requirements and guidelines.
04
If you meet the eligibility criteria, the healthcare professional will provide you with the necessary forms to fill out.
05
Carefully fill out the forms, ensuring all the required information is provided and accurately recorded.
06
Review the completed forms with the healthcare professional to ensure accuracy and clarity.
07
Sign the forms in the presence of two independent witnesses who are not beneficiaries of your estate.
08
Submit the completed forms to the relevant healthcare authority or organization responsible for processing medical assistance in dying requests.
09
Await the review and approval process by the healthcare authority or organization.
10
Once approved, the healthcare professional will schedule a date and time for the medical assistance in dying procedure to take place.

Who needs medical assistance in dying?

01
Medical assistance in dying is intended for individuals who fulfill certain criteria and are suffering from a grievous and irremediable medical condition.
02
This can include individuals with terminal illnesses, severe physical or psychological pain, or incurable diseases that greatly affect their quality of life.
03
However, the specific eligibility requirements may vary depending on the jurisdiction and applicable laws.
04
It is essential to consult with a qualified healthcare professional to determine if medical assistance in dying is an option for a particular individual.
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Medical assistance in dying (MAID) is a procedure that allows terminally ill adults to end their lives peacefully and without pain, under the care of medical professionals.
Medical practitioners who are providing medical assistance in dying are required to file the necessary paperwork.
Medical practitioners must follow specific guidelines and protocols when filling out the necessary forms for medical assistance in dying.
The purpose of medical assistance in dying is to provide terminally ill individuals with the option to end their suffering and pain in a dignified manner.
The necessary information to be reported on medical assistance in dying includes the patient's medical history, condition, and consent for the procedure.
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