Terminal illness medical attestation 2026

1. Click ‘Get Form’ to open the Terminal Illness Medical Attestation in the editor.
2. Begin with Section 1, where you will provide your personal information. Fill in your preferred language, Social Insurance Number, name, date of birth, and contact details. Ensure accuracy as this information is crucial for processing.
3. Proceed to Section 2 to give consent for Service Canada to obtain your personal information. Carefully read the options and select whether you consent or not. Your signature is required here.
4. In Section 3, your physician or nurse practitioner will need to complete the medical attestation. They should provide their assessment of your terminal condition and sign the document.
5. Once all sections are completed, review the form for any missing information. Sign where required and ensure that your Social Insurance Number appears on each page.

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