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

CRITERIA

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,