Forms
Medical Assistance in Dying (MAiD) Patient Request and Consent for Assessments to Determine Eligibility
Published date:
July 2, 2026
This consent form is required to participate in the MAiD process. Individuals are encouraged to complete the consent form in advance of their assessment with the MAiD provider. Consent can be withdrawn or cancelled at any time.
For more information, visit Medical Assistance in Dying.
General Inquiries
PO Box 2000
Charlottetown, PE C1A 7N8
Phone: 902-368-6130
Fax: 902-368-6136
If you are experiencing a medical emergency, call 9-1-1 or go to the nearest emergency department.
If you are unsure what to do about a health issue or if you need health information,
call 8-1-1.
