Death With Dignity Act (DWD) for Medical Providers

We Support Death With Dignity

End of Life Washington provides information about, and support for, the Washington Death with Dignity Act (DWDA) to patients, physicians, and other medical providers. End of Life Washington volunteer medical directors are available to answer providers’ questions and offer consultation.

Join Our Provider Network

The Provider Network is a non-public community site facilitated by End of Life Washington designed for professionals supporting Death with Dignity. Through this site you can stay informed about changes in prescription protocols, pharmacies, facilities and policies. You can also connect directly with other providers who are doing this important work. Click on this link and provide your professional information. There are no regular mailings, no subscription list, and it is fast and easy.

Information for Medical Providers

Request a physician packet to be mailed, emailed or faxed to you by calling 206.256.1636, 1.877.222.2816 toll-free, or email

Primer for Download

Physician Assisted Dying in Washington State: A primer for participating physicians

Physician Assisted Dying or Physician Aid-in-Dying (PAD) is now legal in ten states and the District of Columbia. Though patients have been using the Death with Dignity laws since 1998, very little information is published for providers, pharmacists, and patients who are trying to learn more about actual requirements, protocols, or patient instructions. Past and present drug regimens and current practice recommendations are discussed.  Updated 2023

Download PDF

Options for Clients who cannot swallow

The American Clinicians Academy on Medical Aid in Dying has resources for non-oral administration through feeding tubes, rectal administration, and ostomies.

Go to Website

Request Support

We recommend that every patient who is considering using the DWDA be referred to End of Life Washington to ensure that the patient has ongoing support throughout the process. This includes the presence – if requested – of a Volunteer Client Advisor at the time of death to ensure the medical protocol is followed and to provide reassurance and emotional support to those who are present. For providers whose patients are enrolled in our Client Support Program, End of Life Washington can help coordinate the DWDA process, assist with finding a second participating medical provider, and provide the information necessary to complete the Attending (prescribing) Provider’s After Death Reporting Form.

Additional Health Care Provider Guides

Attending (prescribing) Provider’s Guide to the Death with Dignity Act

This guide briefly explains the steps any provider needs to take to become a patient’s Attending (prescribing) Provider for the purposes of Washington’s Death with Dignity Act (DWDA), and to ensure compliance with the law. *The downloadable version of this Guide does not include the protocol for prescribing medication.

Download the pdf

WSPA Guidelines

for Mental Health Professionals

Death with Dignity Act guidelines for mental health professionals

Updated 2019 by WSPA

Link to PDF

Recommendations for Nurses, Social Workers, and Others

Although social workers, nurses, and others have no legal role in the Washington Death with Dignity Act (DWDA) process, they may still play a crucial role. Explaining the details of the DWDA often falls to the support staff. It is important that patients are fully educated and their needs are being met. Updated 1/10/20

Download the pdf

"Request for Medication" Form, with Instructions

If you have questions or if you would like assistance completing this form, contact End of Life

 Updated July 2023

Link to PDF

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”.

Download the pdf