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
    • Listserve and Newsletter
    • Clinical Education and CE/CME
    • Pharmacology
    • Red Flag Risk Checklist
    • Data Filing
    • Rectally Administered Medications
    • Telemedicine Policies
    • Instructions for Clinician-Unattended Deaths
    • Pacemakers and ICDs
  • For Patients
    • Patient-to-Doctor Referral System
    • Path to Aid in Dying
    • Video Enactment of an Aid-in-Dying Day
    • Instructions for 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

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

Preparation and Instructions for Aid in Dying, if a medical professional is not attending the death

© 2021 American Clinicians Academy on Medical Aid in Dying | Design by HelloAri