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

Navigating a request for medical assistance in dying in the Yukon
To begin the process of requesting medical assistance in dying (MAID), it is recommended that you speak with your health care provider or territorial health and social services organization . 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 the Yukon.
Yukon forms for medical assistance in dying
Download the Patient Request for Medical Assistance in Dying (MAID) Form for the Yukon
Yukon Health and Social Services
Phone: 867-667-5695
Toll free: (Yukon, Nunavut and Northwest Territories): 1-800-661-0408 ext. 5695
Email: hss@gov.yk.ca