Clinician Aid C - (Secondary) "Medical Practitioner" or "Nurse Practitioner" Medical Assistance in Dying Aid
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Forms, Links, and Information
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English - 014-3891-22e - Clinician Aid C - (Secondary)"Medical...PDF
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French - 014-3891-22F - Clinician Aid C - (Secondary)"Medical...PDF
Additional Information
Form Number | 014-3891-22 |
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Title | Clinician Aid C - (Secondary) "Medical Practitioner" or "Nurse Practitioner" Medical Assistance in Dying Aid |
Description | Complete this voluntary aid (Clinician Aid C) if you have been asked by a “Medical Practitioner” or “Nurse Practitioner” to provide a written opinion confirming that the Patient meets the eligibility criteria to receive medical assistance in dying. You should also include the completed aid in the patient's medical records. |