New Jersey uses this two-page follow-up form to close out a medical aid in dying case after the patient's death. The Office of the Chief State Medical Examiner uses it when it receives an attending physician's compliance form or a report of a suspected aid-in-dying death, calling the attending physician to support an accurate, timely death certificate and statistical reporting.
Office of the Chief State Medical Examiner staff complete it during a phone follow-up with the attending physician, who supplies the cause of death, death certificate status and contact details; an OCSME investigator signs the authorization section.
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Attending Physician Follow Up Form
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Not alone. The form states it is intended for the Office of the Chief State Medical Examiner to seek additional information from the attending physician. Staff call the attending physician after receiving the compliance form or a report of a suspected aid-in-dying death, and the attending answers the questions on cause of death and filing.
During the follow-up, staff check whether the attending compliance form, a copy of the patient's request, the consulting physician form and any mental health professional form were submitted. If not, they request a complete report within 30 days of the patient's death.