American Clinicians Academy on Medical Aid in Dying Patient Referral System:
If you or your loved one have a terminal condition and are considering aid in dying, and believe you meet the legal requirements, we will attempt to refer you to physicians who can consider your aid-in-dying request.  The requirements are: Live in California, have a terminal diagnosis with a less than six-month prognosis, and have the capacity to make your own medical decisions.

Please be sure to ask your present doctors about considering your request for medical aid in dying. The Academy is more than willing to mentor physicians wanting to work with aid-in-dying patients. We will provide this support to physicians, free of charge: [email protected]

We strongly encouraged patients to begin hospice care as soon as they can, though this is not a requirement for eligibility for medical aid in dying. Hospices provide expert end-of-life care in your own home, and comfort to grieving family members. Many hospice doctors participate in medical aid in dying, as the first or second required physician. We recommend that you ask specifically about this during the intake interview at a hospice.

Submitting this form is your permission for us to share your information with potential aid-in-dying physicians.