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This version of the form is not currently in use and is provided for reference only. Download this version of
Form MAID-3
for the current year.
Form MAID-3 Medical Aid in Dying for the Terminally Ill Act Attending Physician Follow up Form - New Jersey
What Is Form MAID-3?
This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the MAID-3 form?
A: The MAID-3 form is the Attending Physician Follow-up Form for the Medical Aid in Dying for the Terminally Ill Act in New Jersey.
Q: What is the purpose of the MAID-3 form?
A: The MAID-3 form is used for follow-up documentation by the attending physician in cases of medical aid in dying for the terminally ill.
Q: Who uses the MAID-3 form?
A: The MAID-3 form is completed by the attending physician who prescribes medical aid in dying to a terminally ill patient in New Jersey.
Q: What information is required on the MAID-3 form?
A: The MAID-3 form requires the attending physician to provide information about the medication prescribed, the terminally ill patient, and other relevant details.
Q: Is completion of the MAID-3 form mandatory?
A: Yes, attending physicians are required to complete the MAID-3 form for each case of medical aid in dying for the terminally ill in New Jersey.
Form Details:
- Released on August 1, 2019;
- The latest edition provided by the New Jersey Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form MAID-3 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.
Download Form MAID-3 Medical Aid in Dying for the Terminally Ill Act Attending Physician Follow up Form - New Jersey
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