Clinician aid b 2026

1. Click ‘Get Form’ to open the clinician aid b in the editor.
2. Begin with Section 1, Patient Information. Fill in the patient's last name, first name, gender, date of birth, and OHIP number. Ensure you have received the completed Patient Request (Clinician Aid A) and note the date received.
3. Proceed to Section 2, Practitioner Information. Indicate whether you are a medical practitioner or nurse practitioner. Enter your college registration number, full name, current business address, and telephone number.
4. In Section 3, confirm the patient’s eligibility by checking all applicable statements regarding their age, capability of making decisions, and grievous medical condition. Sign and date this section.
5. Complete Sections 4 through 8 as required. These sections involve confirming safeguards, reflection periods, withdrawal requests, approval status, and provision of medical assistance in dying.

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