Navigating a request for medical assistance in dying in Quebec
Local MAID Forms | February 11, 2022

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:
- Québec City region: 418-644-4545
- Montreal region: 514-644-4545
- Rest of Quebec: 877-644-4545 (toll-free)
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