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New Jersey Department of Health MEDICAL AID IN DYING FOR THE TERMINALLY ILL ACT ATTENDING PHYSICIAN COMPLIANCE FORMFiling Instructions: 1. Must be completed by the attending physician who determined.

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MAID allows an adult New Jersey resident, who has the capacity to make health care decisions and who has been determined by that individual's attending and consulting physicians to be terminally ill, to obtain medication that the patient may self-administer to end the patient's life.

The New Jersey Medical Aid in Dying for the Terminally Ill Act (P.L. 2019, c. 59) permits an attending physician to write a prescription for medication that would enable a qualified terminally ill patient to end his or her life. This Act was approved April 12, 2019 and went into effect August 1, 2019.

A: The Death with Dignity Act (DWDA) is a permissive law that allows terminally ill individuals to end their lives through the voluntary self-administration of a lethal dose of medication, expressly prescribed by a physician for that purpose.

New Jersey Death with Dignity is committed to educating and providing resources for all people, without regard to race; religion; gender, gender identity, or gender expression; sexual orientation; national origin; disability; age; socioeconomic status; educational background; or beliefs.

MAID allows an adult New Jersey resident, who has the capacity to make health care decisions and who has been determined by that individual's attending and consulting physicians to be terminally ill, to obtain medication that the patient may self-administer to end the patient's life.

Patients must meet stringent eligibility requirements, including being an adult, state resident, mentally capable, able to self-administer and ingest the medications, and having a terminal diagnosis with a prognosis of six months or less to live. There are no exceptions.

The New Jersey Medical Aid in Dying for the Terminally Ill Act (P.L. 2019, c. 59) permits an attending physician to write a prescription for medication that would enable a qualified terminally ill patient to end his or her life.

A terminal illness is an illness or condition which cannot be cured and is likely to lead to someone's death.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232