Skip to content
  • Donate Online
  • Contact Us
American Clinicians Academy on Medical Aid in Dying
  • About
    • Introduction to the Academy
    • Board of Directors and Board of Advisors
    • Frequently Asked Questions
    • Donors
  • Patient-to-Doctor Referrals
    • Patient Intake Form
    • Confidential Participating Physician Form
  • For Clinicians
    • Contact us for Clinical Questions
    • Join our Listserve or Mailing List
    • Clinical Education. CE/CME Online Courses
    • Nursing Best Practices
    • Pharmacology
      • Overview and Recommendations
      • Amitriptyline and oropharyngeal/esophageal burning
    • Rectal Medication Administration
    • Red Flag Risk Checklist
    • Data Filing
    • Ethics Consultation Service
    • End-of-Life Doulas and Bedside Attendants
    • Recommendations and Policies
      • SB380: Recommendations for Posting Aid-in-Dying Policies
      • Pacemakers and ICDs
      • Telemedicine Policies
  • For Patients
    • Patient-to-Doctor Referral System
    • Patient to End-Of-Life Doula or Bedside Attendant Intake Form
    • Completing the Path to Aid in Dying
    • Instructions for the Aid-in-Dying Day
    • Instructions for Mixing Aid-in-Dying Medications
    • Video Enactment of an Aid-in-Dying Day

Patient Information

Intake form for the Academy’s Patient to Doctor Referral System

Information on Completing the Path to Medical Aid in Dying

Instructions for Aid-in-Dying Day

Instructions for Mixing Aid-in-Dying Medications

Video: An enactment of an Aid-in-Dying Day at the Bedside

© 2022 American Clinicians Academy on Medical Aid in Dying | Design by HelloAri