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Medical Assistance in Dying Interim Medication Protocols for the Northwest Territories Effective: June 23, 2016, Updated: January 1, 2023FOR INTERNAL USE ONLY NOT TO BE PUBLICLY DISTRUBUTEDApril 2018|
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How to fill out medical assistance in dying

How to fill out medical assistance in dying
01
Meet with a healthcare provider to discuss eligibility for medical assistance in dying.
02
Complete the required consent forms.
03
Have a second independent healthcare provider assess eligibility.
04
Wait for a mandatory reflection period.
05
Administer the medication as instructed by healthcare providers.
Who needs medical assistance in dying?
01
Individuals who are suffering from a grievous and irremediable medical condition.
02
Individuals who have a prognosis of less than 6 months to live.
03
Individuals who are mentally capable of making informed decisions about their own healthcare.
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What is medical assistance in dying?
Medical assistance in dying refers to the act of intentionally ending a life, at the request of the patient, in order to relieve suffering.
Who is required to file medical assistance in dying?
Medical professionals, such as doctors and nurse practitioners, are required to file medical assistance in dying.
How to fill out medical assistance in dying?
To fill out medical assistance in dying, medical professionals must follow specific guidelines and procedures set by the law.
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 dignified manner.
What information must be reported on medical assistance in dying?
Information such as the patient's medical history, the reasons for requesting assistance in dying, and the steps taken to ensure informed consent must be reported.
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