Death With Dignity Act (DWD for Patients)

About the Process

Watch the Video:

End of Life Washington Informational Webinar:  Everything you need to know about your End-of-life options, including the Death With Dignity Act.

Read an Overview:

What End of Life Washington can do for you: We are a statewide organization that supports people preparing for their final days.

 Our Client Support Services can help patients:

  • Consider all end-of-life options.
  • Understand the importance of hospice and locate a provider.
  • Talk to your family and health care providers about dying and Death with Dignity.
  • Locate physicians and pharmacists who support a patient’s choice to use the law.

An experienced Volunteer Client Advisor can be present with you if you choose to take the Death with Dignity medication.

Speak with Your Physician

Before asking End of Life Washington for help finding a supportive physician, you should ask the physician(s) you are currently working with if they will support your choice to use the law. It is very important that this conversation occur in person.


End of Life Washington does not provide or administer life-ending medication. We offer information, support, and, if requested, personal presence at the death of a qualified client.

Request Death With Dignity Support

If you'd rather have a button like this, we can set this up easily. It will take people to a separate page on our website, where they'll fill out the form. Right now this button goes to our current REQUEST SUPPORT page instead of to the new form.

PDF Documents for Download

DWD Checklist

Updated June 2022

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The checklist is available in the following languages: Arabic, Chinese, Haitian-Creole, Korean, Russian, Spanish, and Tagalog.

First Oral Request

MAKING YOUR FIRST ORAL REQUEST - This documented request starts the 15-day timeline required by law to receive the prescription. Start with your Primary Care Physician, Specialist, Palliative Care or Hospice Physician

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Written Request Form and Instructions

Complete this form after you have seen both the Attending (prescribing) and Consulting Physicians. This form must be signed by two qualified witnesses. One witness can be a family member; one can be an employee of your doctor; or both witnesses can be bystanders.

Updated June 2022

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Forms have been translated for reference purposes only. In accordance with Washington State Law, these forms must be completed in English. They are currently available in the following languages: Arabic, Chinese, Haitian-Creole, Korean, Russian, Spanish, Tagalog, and Vietnamese.

Death With Dignity Preparations

If you have any questions about this information, please contact the End of Life Washington office at 206.256.1636. If you decide to take the life-ending medication and have given us adequate notice, a Volunteer Client Adviser can provide you and your loved ones with support through this process.

Updated June 2022

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Step-by-Step Instructions for Taking Life-Ending Medications

Note: If these directions are not followed, the process may take longer or may not work.

Updated June 2022

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Options for Clients who cannot swallow

Options for Gastric tube, J tube or Rectal Administration

Updated 2-21-21

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Language Matters

This document explains why the term, “physician-assisted suicide” is inaccurate when talking about the Death with Dignity Act. The correct term to use is “aid in dying”.
Updated 1-10-2020

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Talking to Your Doctor About Death With Dignity

Don’t wait until it’s too late to have this important conversation with your physician. Many patients want the comfort of knowing that the Washington Death with Dignity Act (DWDA) will be available to them.
Updated 1-10-2020

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Talking to Your Family About Dying

If you want to ensure that your own death is peaceful, you must talk to your family and other loved ones. This document explains how to have these conversations as well as help prepare them for your death.
Updated 1-10-2020

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Death with Dignity Act Residency Requirements

Death With Dignity Act FAQ These questions and answers contain general information about the effect of Initiative 1000, the state’s Death with Dignity Act. Refer to the official act for specific details under this law.
updated 1-10-2020

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If you meet the legal requirements and choose to use the Death with Dignity Act (DWDA), we honor that decision and provide support and guidance to you and your family through the process. However, we neither provide nor administer life-ending medication. Furthermore, people with dementia are unable to qualify for the Death with Dignity Act because by the time they are eligible to receive a terminal diagnosis with a six-month prognosis, they are no longer deemed mentally competent. There are never any fees for any service End of Life Washington provides.