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NSW HealthApplicant Registration No:(Official Use Only)Expression of Interest Form NSW Health Voluntary Assisted Dying BoardInstructions: Please submit your completed expression of interest application
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How to fill out voluntary assisted dying

01
Begin by understanding the legislation and eligibility criteria for voluntary assisted dying in your jurisdiction.
02
Discuss your decision with your loved ones or a trusted healthcare professional.
03
Consult with your primary care physician to ensure that you meet the necessary requirements and are eligible for voluntary assisted dying.
04
If eligible, complete the required application forms and provide any necessary supporting documents.
05
Submit your application to the appropriate governing body or regulatory authority.
06
Await review and approval of your application.
07
If approved, work with your healthcare team to establish a care plan and discuss the administration of voluntary assisted dying.
08
Follow all instructions provided by your healthcare team for the safe and effective administration of voluntary assisted dying.
09
Ensure that your loved ones are aware of your decision and the necessary steps to be taken after your passing.
10
Continuously communicate with your healthcare provider to address any concerns or questions that may arise throughout the process.

Who needs voluntary assisted dying?

01
Individuals suffering from incurable and terminal illnesses who wish to have control over the timing and manner of their death.
02
Patients experiencing unbearable physical pain or suffering that cannot be adequately relieved through palliative care.
03
Individuals of sound mind who have made a clear and voluntary decision to end their life.
04
Those who have considered all available treatment options and have determined that voluntary assisted dying is their preferred choice.
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Voluntary assisted dying refers to the process where a person with a terminal illness or severe suffering can request and receive assistance to end their life, typically through prescribed medication.
Patients who choose to pursue voluntary assisted dying must file an application, along with their healthcare providers who are involved in the assessment and approval process.
To fill out voluntary assisted dying, the individual must complete the required forms provided by the relevant health authority and undergo the necessary assessments by qualified healthcare professionals.
The purpose of voluntary assisted dying is to provide individuals experiencing unbearable suffering due to terminal illnesses with a choice to end their life peacefully and with dignity.
The information that must be reported includes personal details of the patient, the nature of the illness, the request for assistance, and the details of the healthcare professionals involved.
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