Patients or Family Members

Medical Assistance in Dying

If you or a loved one is contemplating Medical Assistance in Dying, compassionate and professional support is available for you.

Care Coordination Services

Patients have access to a single point of contact for all end of life options, including Medical Assistance in Dying, through a team called Care Coordination Services.

These teams will also connect a patient to the health care provider who can best meet their unique needs so that further, in depth, discussions can happen. Choices may vary from patient to patient and we acknowledge that there is no right or wrong choice.


How do I access Medical Assistance in Dying?

Find answers to what Alberta’s criteria is for accessing services and how to find a willing physician.

Record of Request

Alberta Health recognizes there are issues with some browsers when trying to open the Record of Request for Medical Assistance in Dying Form and are working to address this. If you have any issues, contact the Care Coordination Service, at, to request a copy of the form.

Should you choose to submit the form, please ensure that you include the name and contact information of the individual for us to work with in response to you providing the completed form.

Please Note: To avoid errors, the following Government of Alberta forms must be downloaded to your computer and opened with Adobe Acrobat Reader instead of being viewed via the web browser. Right click on the URL and click "Save Link As" to save the file to your desktop.

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