As of June 6, 2016, medical practitioners and nurse practitioners in the Northwest Territories are allowed to provide medical assistance in dying.
Our priority is to protect both patients and health care providers involved in medical assistance in dying. Medical Assistance in Dying Interim Guidelines have been developed to ensure this service is provided in a safe, fair and consistent manner in the Northwest Territories.
A practitioner who has received a written request for medical assistance in dying, assessed a patient for eligibility, or provided medical assistance in dying will have reporting requirements under the Interim Guidelines and Criminal Code. Please see the Interim Guidelines and associated forms (below) for more information.
- Medical Assistance in Dying Interim Guidelines for the Northwest Territories – Effective January 1, 2023
- Medical Assistance in Dying Interim Medication Protocols for the Northwest Territories – Effective January 1, 2023
- Medical Assistance in Dying Process Map
- Medical Assistance in Dying Checklist
- Form 1 - Formal Written Request
- Form 2 - Assessment of Patient by Assessing Practitioner
- Form 3 - Assessment of Patient by Consulting Practitioner
- Form 4 - Withdrawal of Request
- Form 5 - Waiver of Final Consent
- Form 6 - Dispensing of Medication
- Form 7 - Express Consent by Patient to Receive Medical Assistance in Dying
- Form 8 - Record of Provision
- Form 9 - Death of Patient from Other Cause
- Form Bundle
- Information Package for Health Care Providers
- Information Package for Patients and Families
- Central Coordinating Service Contact Information Card
- www.maidnwt.com / www.ammtno.com
If you have any questions about medical assistance in dying in the Northwest Territories, please contact: