Additional Information & Forms

End-of-Life Option Act Forms

Click and download if needed

(Also available from the California Department of Public Health)

End Of Life Option Act

Patient’s forms:

Patient’s aid-in-dying_request

Patient’s final_attestation

Attending Physician forms:

Attending Physician Forms Submission Instructions

Attending Physician Checklist Compliance Form

Attending Physician Follow-up Form

Consulting Physician Form:

Consulting Physician Compliance Form

Interpreter form:



Patient Information

End-of-Life Choices

End-of-Life Choices, more detailed

The Importance of Hospice

Start Hospice Early

The Medicare Hospice Benefit


Guidelines and Protocols for Physicians

Journal of Palliative Medicine Guidelines
Journal of Palliative Medicine Supplement

California Medical Association Guidelines

UCSF-Hastings Law Guidelines


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