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45 7. "Physician" means a person licensed to practice 46 medicine and surgery, osteopathy, or osteopathic 47 medicine and surgery in this state. 48 8. "Qualified patient" means a patient who has 49 executed a declaration in accordance with this chapter 50 and who has been diagnosed to be in a terminal Page 2 1 condition, by two physicians, one of whom is the 2 attending physician, and both of whom have personally 3 examined the patient and have certified in writing the 4 diagnosis of the patient's terminal condition. 5 9. "Terminal condition" means an incurable or 6 irreversible condition that, without the 7 administration of life-sustaining procedures, will, in 8 the opinion of two physicians having examined the 9 patient and exercising reasonable medical judgment, 10 result in the death of the patient within six months. 11 Sec. 3. NEW SECTION. 144D.3 DECLARATION RELATING 12 TO THE PROVISION OF ASSISTANCE-IN-DYING. 13 1. A competent adult may execute a declaration to 14 request assistance-in-dying at any time. The 15 declaration shall be given operative effect only if 16 the declarant's condition is determined to be 17 terminal. Prior to effectuating a declaration, the 18 diagnosis of a terminal condition by two physicians 19 shall be verified in writing, attached to the 20 declaration, and made a permanent part of the 21 patient's medical records. 22 2. The declaration shall be signed by the 23 declarant in the presence of two witnesses, neither of 24 whom is any of the following: 25 a. A person who would be entitled to any portion 26 of the estate of the declarant, upon the declarant's 27 death, under any will of the declarant, then existing, 28 or at the time of the declaration by operation of 29 existing law. 30 b. The attending physician, an employee of the 31 attending physician, or a health care provider in 32 which the declarant is a patient. 33 3. It is the responsibility of the declarant to 34 provide the declarant's attending physician with the 35 declaration. 36 4. The declaration, or a copy of the declaration, 37 shall be made a part of the patient's medical record 38 by the attending physician. 39 5. A declaration executed pursuant to this chapter 40 shall be essentially in the following form, but may 41 also include other directions as specified by the 42 declarant: 43 DECLARATION 44 I, ________, being of sound mind, willfully, and
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