This brochure gives you the opportunity to write your end-of-life choice, with the advance directive section, as well as the end-of-life provisions.
Through the advance directive, you designate a person of trust and your will at the end of life.
You keep the original at home and give a copy to your trusted person.
The advance directive is not registered with the Ministry of Health.
End-of-Life Provisions are a request for euthanasia that is made in anticipation of a situation later in life where one find himself or herself irreversibly unconscious according to the current state of science and suffering from a serious and incurable accidental or pathological condition.
It is preferable that one draws up his or her End-of-Life Provisions while one is still legally capable and in good health.
A sudden accident or disease might put you in a situation of dependence, such as for instance prolonged unconsciousness, by which you can no longer manifest your will. If you do not manifest your will in writing beforehand, you run the risk of having others deciding instead of you.
Your arrangements must be recorded in writing, dated and signed by yourself.
It is a document included in the blue section of the brochure “My will at the end of life”
You can also download it directly at the bottom of this page!
• On the first page you will write your family name and first name, your date and place of birth as well as your National registration number (matricula national)
You may also indicate details about the situation where you would choose to undergo euthanasia.
• On the second page of this official document, you will write optional information such as the person of trust or your choice of burial method.
You will have therefore the opportunity to register a person of trust by writing his or her personal data. It is that person who will see to it that your arrangements are respected in case you might be irreversibly unconscious like in a coma or in a state of physical deficiency where you cannot manifest your will.
It is important to chose well the person of trust, to inform him or her about your choice in advance and talk to him or her about your will and wishes.
It is of prime importance that you inform your treating doctor about your will and ask him or her whether they consent to help you if the case arises. Otherwise, you yourself or your person of trust will have to find a doctor who is favourably disposed and who will respect your choice later on.
Once the End-of-Life Provisions are completed:
- Have several copies of the signed document made.
- Give a copy to your life partner, a member of your family, person of trust.
- Deliver a copy to your family doctor or treating doctor and talk to him or her about any concerns you might have in relation to the end of life.
- In case of hospitalization, provide a copy at admission to the hospital with a request for it to be put in your medical file.
- And most importantly, send the original to La Commission Nationale de Contrôle et d’Evaluation sur l’Euthanasie et l’assistance au suicide