State Forms

Submission Instructions:

Under P.L.2019, c.59, the compliance forms and the Medication Dispensing Record must be filed with the New Jersey Department of Health.  Currently, the forms must be mailed to the Office of the Chief State Medical Examiner, 120 South Stockton Street, 3rd floor, PO Box 360, Trenton, NJ 08625.  An electronic submission process is forthcoming.  Any changes or additional submission processes will be posted here.

Sample Health System Policies

Sample Hospital Policy

Medical Aid in Dying: Best Practices for Developing Patient-Centered Policies

For Pharmacists

Your relationship with patients is critical to ensure they receive care they truly want.

Pharmacist2Pharmacist helps pharmacy professionals provide accurate information and up-to-date care to patients with prescriptions for aid-in-dying medications. It can be difficult to discuss a patient’s terminal illness and death — and crucial for pharmacists to knowledgeably consult directly with patients and caregivers about medications intended to bring about a peaceful death.

The knowledge you give to patients and caregivers will help patients understand the aid-in-dying medication protocols. A resource tailored to pharmacists, Pharmacist2Pharmacist offers you important documents and a readily available, free and confidential telephone consultation with a pharmacist in Oregon or Washington experienced with medical aid in dying.

Pharmacist2Pharmacist is ready with information and guidance to answer questions about medical aid in dying.

Contact us.