Journal Submission Form | Academy of Aid-in-Dying Medicine

Name*
First Last
Degree/title if applicable
Role with aid in dying*
Organization/affiliation (if applicable)
Email*
Mailing address*
Street Address City ZIP / Postal Code
Phone*
Title for proposed article, submission, or other material*
Brief (1 to 3 paragraph) summary of your article, proposal, or other submission. If you have a longer description or completed article, please still provide a summary below and then attach your article at the end of this form.*
If you are submitting a photograph or artwork, please use 300dpi by at least 6" width. Let us know the date and location of the image. For artwork, please provide 1-3 sentences about why your piece reflects on aid-in-dying work. When the form is completed, email the image to Journal@AADM.org
Please include a 1- to 3-sentence bio. If relevant, include your role in aid-in-dying care.
Please add any additional information if you think it would be helpful.

Teaching and supporting best practices for the care of patients considering or completing medical aid in dying.