For Clinicians

Accept Confidential Patient Referrals


Information from this Participating Physician form will be used only to send you intake information about patients in your geographic area who are seeking a physician to evaluate their aid-in-dying request. These patients (who contact us via our patient intake form) are screened by the Academy before sending you their information. No patient will ever be given your information, and your participation in this list will be strictly confidential.

Questions?

We’re available for advice or mentoring for clinicians, if you have any questions or needs in caring for patients.

Confidential Physician Information for Patient Referrals

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

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