Ontario's Ministry of Health offers Clinician Aid B as a voluntary record for the primary medical practitioner or nurse practitioner who intends to provide medical assistance in dying. It walks through the request, independence declarations, eligibility criteria, safeguards, waiver of final consent, provision of MAID and notification of the coroner. Preliminary assessors can also use it to record a determination of ineligibility.
The primary (providing) physician or nurse practitioner completes the aid, giving their college registration number and, for physicians, their primary specialty. The patient's request may be documented on Clinician Aid A, and the secondary assessor uses Clinician Aid C.
Download the current version from the source each time; forms change without notice.
Clinician Aid B - (Primary) "Medical Practitioner" or "Nurse Practitioner" Medical Assistance in Dying Aid
Outil Clinique B - Médecin ou infirmier praticien (principal) fournissant les services d'aide médicale à mourir
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No. The aid states that its use is voluntary and that it is provided to help practitioners maintain records of MAID requests. It is meant for a physician or nurse practitioner who intends to provide MAID, and it points practitioners to their regulatory college's guidance for their professional obligations.
The date the request was made and who it came from: the person, another practitioner, a care coordination service or someone else. A request can take any form, including Clinician Aid A, a text message or an email, but it must be more than an inquiry about MAID.
Yes. In Section 11, the practitioner declares that, on learning of the patient's MAID death, they gave notice to a coroner as the Coroners Act requires and gave the Office of the Chief Coroner the facts needed to decide whether the death should be investigated.