Changes to MAiD forms

The Ministry of Health on Feb. 25, 2022, released updated provincial forms for medical assistance in dying (MAiD) in B.C. The forms satisfy federal and provincial reporting requirements, in addition to provincial oversight requirements.

The provincial forms and associated instruction guides were updated based on input from B.C. health authorities, BCCNM, the College of Physicians and Surgeons of BC, the College of Pharmacists of BC, and MAiD providers, among others.

The expectation is that patients and MAiD providers will use the updated forms for all new MAiD cases as of Feb. 28, 2022. Providers will be allowed to continue using the older version of the forms for pre-existing cases. An educational approach will be favoured when the updated forms are not utilized as expected.

• Access the revised forms

Summary of changes

HLTH 1632/HLTH 1632 Large Print – Request for MAiD

• Clarification on the form regarding the Proxy, who MUST be in physical presence of the MAiD Requestor when signing the form, whereas the Independent Witness can be in the physical OR virtual presence of the MAiD Requestor or Proxy when signing. 

HLTH 1633 Assessment Record (Assessor)

Section 3. RECEIPT OF WRITTEN REQUEST FOR MAiD

• Removal of provincial Telemedicine regulated witness provinc​ial requirement.
• The provincial safeguard requiring the second assessor to receive and review the HLTH 1632 Request for MAiD has been removed as it is only required federally by the Prescriber to ensure all of the safeguards are met. The second assessor now has the option to answer “No", if they have not received the HLTH 1632 form, and skip the rest of the section.​

Section 7. DISCONTINUATION OF PLANNING FOR MAiD

• A signature box has been provided at the bottom of the forms for patients that were found eligible but later had a change in eligibility.

HLTH 1634 Assessment Record (Prescriber)  

• Removal of provincial Telemedicine regulated witness provincial requirement.
• Fields to indicate the Date Patient/Proxy signed Request for MAiD and the Date Witness signed Request for MAiD have been added  (This is a federal safeguard required by the Prescriber and this allows as a reminder to check the dates align and the request is valid). The goal of these fields is to help the prescriber ensure that the Request for MAiD form is valid, which will hopefully lead to less follow-up required.

• A signature box has been provided at the bottom of the forms for patients that were found eligible but later had a change in eligibility.

​ Section 8. PLANNING FOR MEDICAL ASSISTANCE IN DYING

Organ donation patient referral option – reporting on form no longer required (now just a reminder).

• Box for name of Medical Practitioner or Nurse Practitioner that provided 2^nd Assessment.​

1635 CONSULTANT'S ASSESSMENT OF PATIENT'S INFORMED CONSENT DECISION CAPABILITY

• ​Section numbers added to form and instruction guide

​HLT​​H 1642 TRANSFER OF REQUEST

• Section numbers added to form and instruction guide

HLTH 1645 WAIVER OF FINAL CONSENT​

• Simplified language
• Proxy signature section and verbal consent options if Requestor is physically unable to sign.