For Hawai‘i Healthcare Providers

For Physicians

The Compassion & Choices Doc2Doc line offers free, confidential telephone consultation with one of our seasoned medical directors, each with years of experience in end-of-life medical care including medical aid in dying. Call us anytime at 800.247.7421 or by email for information.


The Hawai‘i Access Campaign seeks to provide technical assistance to healthcare providers so they can more fully support their patients.

Resources are currently being produced and will be added here as they become available. Check back often.

Clinical Criteria for Physician Aid in Dying and  supplementary clinical information: Current best practices as published by the Journal of Palliative Medicine in December 2015.

Medical Aid in Dying: Best Practices for Developing Patient-Centered Policies
Doc2Doc Flyer – English
Doc2Doc Flyer – Spanish


Attending Physician Reporting Form

Patient’s Written Request Form

Consulting Physician Confirmation and Verification Form

Counseling Provider Statement of Determination Form

Patient’s Final Attestation Form

Attending Physician’s Follow-Up Form

Hawai‘i Department of Health

Compassion & Choices
8156 S Wadsworth Blvd #E-162
Littleton, CO 80128

Mail contributions directly to:
Compassion & Choices Gift Processing Center
PO Box 485
Etna, NH 03750