Regulations for the Monitoring of Medical Assistance in Dying (SOR/2018-166)
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Regulations are current to 2024-11-26 and last amended on 2024-01-01. Previous Versions
SCHEDULE 1(Paragraph 5(1)(a), subsections 6(1), 6.1(1) and 7(1) and (2), section 8, paragraph 9(a) and subsection 16(1))Basic Information — Request for Medical Assistance in Dying
1 The following information in respect of the person who made the request for medical assistance in dying:
(a) date of birth;
(b) sex at birth and gender identity;
(c) race or Indigenous identity, and any disability of the person, if they consented to providing that information;
(d) usual place of residence and living arrangement on the day on which the preliminary assessor or the practitioner received the request;
(e) health insurance number and the province or territory that issued it or, in the case where they do not have a health insurance number, the province or territory of their usual place of residence on the day on which the preliminary assessor or the practitioner received the request; and
(f) the postal code associated with the person’s health insurance number or, in the case where they do not have a health insurance number, the postal code of their usual place of residence on the day on which the preliminary assessor or the practitioner received the request.
2 The following information in respect of the practitioner:
(a) name;
(b) an indication of whether they are a medical practitioner or nurse practitioner;
(c) if they are a family physician, an indication to that effect;
(d) if they are a medical practitioner other than a family physician, their area of specialty;
(e) the province or territory in which they practise and, if they practise in more than one province or territory, the province or territory in which they received the request;
(f) the licence or registration number assigned to them in the province or territory in which they received the request;
(g) the telephone number, mailing address and email address that they use for work; and
(h) to the best of their knowledge or belief, an indication of whether, before they received the request, the person who made the request consulted them concerning the person’s health for a reason unrelated to seeking medical assistance in dying.
2.1 The following information in respect of the preliminary assessor:
(a) name;
(b) profession or occupation;
(c) the province or territory in which they work; and
(d) the telephone number, mailing address and email address that they use for work.
3 The following information in respect of the request:
(a) the date on which the person made the request; and
(b) an indication of whether the preliminary assessor or the practitioner received the request from the person who made it directly or from a preliminary assessor, a practitioner, a care coordination service or another third party.
4 If known, an indication by the preliminary assessor or practitioner of whether the person had previously made a request for medical assistance in dying, and if so, the outcome of that request.
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