Consent To Die Agreement

The basis of a Consent To Die agreement:

  • the person agrees to a set of criteria
  • the agreement is signed and witnessed
  • the agreement is counter-signed by a doctor


  1. the person is of sound mind and body
  2. the person agrees that if at a later date, he/she suffers from any/all of the following conditions that they be legally allowed to die:
    – dementia, alzheimers, mind-related
    – disability, spinal,
    – cancer, sickness,
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