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MAiD Forms and Documents

MAiD documents are to be completed only under the guidance of a MAiD clinician, or the Nurse Navigator.

MAID Referral Form

Nova Scotia Health Medical Assistance in Dying (MAiD) Referral Form.

March 2, 2022
.PDF

MAiD Assessment Form

Medical Assistance in Dying (MAiD) Assessment Form.

June 14, 2023
.PDF

MAID Request and Consent – Death Reasonably Foreseeable 

This form is to be completed following first MAiD assessment. 

June 20, 2023
.PDF

MAiD Request and Consent – Death NOT Reasonably Foreseeable 

This form is to be completed following first MAiD assessment. 

June 14, 2023
.PDF

MAiD Waiver of Final Consent

Medical Assistance in Dying (MAiD) Waiver of Final Consent 

July 5, 2024
.PDF

MAiD Procedure Forms

Medical Assistance in Dying (MAID) - Procedure Documentation

June 14, 2023
.PDF

Grief and Bereavement Resources

A document outlining grief and bereavement resources for families following the medical assisted death of a loved one. 

June 1, 2023
.PDF

Regulations for the Monitoring of Medical Assistance in Dying (justice.gc.ca)

July 5, 2024
URL

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