Under New Jersey's Medical Aid in Dying for the Terminally Ill Act, a consulting physician must confirm the attending physician's findings before a patient qualifies. Form MAID-5 records that the consultant examined the patient and records, confirmed the terminal diagnosis in writing, judged the patient capable, voluntary and informed, and explained the diagnosis and prognosis. It becomes an attachment to the attending physician's compliance filing.
The consulting physician who determined whether the person was a qualified terminally ill patient completes and signs the two-page form, including the attending physician's details and the patient's terminal condition.
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Consulting Physician Compliance Form
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The consulting physician delivers the completed form to the attending physician, who appends it to the Attending Physician Compliance Form. That package goes to the Office of the Chief State Medical Examiner no later than 30 days after the qualified terminally ill patient's death, by mail or as digitally signed forms by email.
That they examined the patient and the relevant medical records, confirmed in writing the attending physician's diagnosis of terminal illness, determined the patient is capable, acting voluntarily and making an informed decision, and informed the patient of the diagnosis and prognosis. A separate check box records the patient's mental status.