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Form 2 - Assessment of Patient by Assessing Practitioner (pdf/548.67 KB)
Form 3 - Assessment of Patient by Consulting Practitioner (pdf/466.99 KB)
Form 4 - Withdrawal of Request (pdf/406.77 KB)
Form 6 - Dispensing of Medication (pdf/309.63 KB)
Form 7 - Express Consent by Patient to Receive Medical Assistance in Dying (pdf/339.62 KB)
Form 8 - Record of Provision (pdf/418.75 KB)
Form 9 - Death of Patient from Other Cause (pdf/402.11 KB)
Medical Assistance in Dying - Questions and Answers for Health Care Providers (pdf/308.42 KB)
Form 5 - Waiver of Final Consent (pdf/374.17 KB)
Medical Assistance in Dying - Information for Health Care Providers (pdf/401.56 KB)
Medical Assistance in Dying Interim Medication Protocols for the Northwest Territories (pdf/504.17 KB)