MEDICAL ASSISTANCE in DYING with Dr. Stefanie Green

The MAiD process begins when a patient makes a written request for MAiD. This request must be witnessed by an independent
witness. A witness must not benefit in any way from the death of the patient. Because of this, they are most often NOT family or business partners, but friends or neighbours. If required, a volunteer witness can be arranged through our office with the Dying With Dignity Volunteer witness program.

After the request is received, the first assessor reviews the case, meets with the patient, gathers all required information, and assesses whether or not the person meets the eligibility criteria.

Under the new law (March 2021), an assessor must determine if the person's death is reasonably foreseeable or not. This will determine which set of procedural safeguards must be followed.

If death is reasonably foreseeable, a second, independent assessor must then do an independent assessment of eligibility. If the two assessors agree all criteria are met, the MAiD procedure can then be planned by the assessor/provider.

Sometimes an independent assessment of capacity may also be required.

If death is NOT reasonably foreseeable, a second, independent assessor must still do an assessment of eligibility, but the assessment period must be a minimum of 90 days, and one of the assessors must be an expert in the condition that is causing the intolerable suffering. If not, an outside expert must be consulted, and their opinion shared with both MAiD assessors. As well, the assessor must ensure the person has been informed of the other means available to relieve their suffering and offered consultations for those means and services. The assessor must also ensure they have discussed the reasonable and available means, and agree with the person that he/she/they have given serious consideration to those options.

Following College of Physicians and Surgeons of BC guidelines regarding how this process is done and documented is mandatory.

If you are unable or unwilling to be an assessor for your patient, you are able to refer them either to Solace, or to the VIHA MAiD office (tel 250-727-4382; email:; fax 250-519-3669) for possible care. Both will work with your team to gather relevant information and keep you informed of developments all along the process.

If you are willing to be an assessor for your patient but require a second assessor (or an assessor/provider) for the case I am willing to accept referrals for either role.

More questions/want to talk?

Referrals can be FAXED to
I will contact the patient directly