Navigating a request for medical assistance in dying in Quebec

Local MAID Forms | February 11, 2022

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Navigating a request for medical assistance in dying in Quebec

To begin the process of requesting medical assistance in dying (MAID), it is recommended that you speak with your health care provider or local Integrated Health and Social Services Centres (CISSS). Alternatively, you can contact Dying With Dignity Canada’s Support team at support@dyingwithdignity.ca or 1-844-395-3640. We can answer general questions about MAID or provide navigation support. 

The following information can help you navigate a request for medical assistance in dying in Quebec. 

Quebec forms for medical assistance in dying

Download the Request for medical aid in dying form for Quebec. 


Provincial contact numbers

Phone numbers: 


Association Québécoise pour le Droit de Mourir dans la Dignité (AQDMD)

Quebec Association for the Right to Die with Dignity 

Phone: 514-341-4017
Email: info@aqdmd.org

More information

Related Resources

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