|Classification / Identification:|
| ||Form Number:||014-3891-22E||Edition date: ||2019/06 |
| ||Title:||Clinician Aid C - (Secondary) "Medical Practitioner" or "Nurse Practitioner" Medical Assistance in Dying Aid|
| ||Ministry:||Health|| || |
| ||Branch/ABC:||Strategic Policy Branch|| || |
| ||Program:||Strategic Policy – Medical Assistance in Dying|| || |
| ||Purpose of Form:||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.|| || |
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