Revised Code of Washington
Chapter 70.245 - The Washington Death With Dignity Act.
70.245.030 - Form of the written request.

RCW 70.245.030
Form of the written request.

(1) A valid request for medication under this chapter shall be in substantially the form described in RCW 70.245.220, signed and dated by the patient and witnessed by at least two individuals who, in the presence of the patient, attest that to the best of their knowledge and belief the patient is competent, acting voluntarily, and is not being coerced to sign the request.
(2) One of the witnesses shall be a person who is not:
(a) A relative of the patient by blood, marriage, or adoption;
(b) A person who at the time the request is signed would be entitled to any portion of the estate of the qualified patient upon death under any will or by operation of law; or
(c) An owner, operator, or employee of a health care facility where the qualified patient is receiving medical treatment or is a resident.
(3) The patient's attending physician at the time the request is signed shall not be a witness.
(4) If the patient is a patient in a long-term care facility at the time the written request is made, one of the witnesses shall be an individual designated by the facility and having the qualifications specified by the department of health by rule.

[ 2009 c 1 § 3 (Initiative Measure No. 1000, approved November 4, 2008).]

Structure Revised Code of Washington

Revised Code of Washington

Title 70 - Public Health and Safety

Chapter 70.245 - The Washington Death With Dignity Act.

70.245.010 - Definitions.

70.245.020 - Written request for medication.

70.245.030 - Form of the written request.

70.245.040 - Attending physician responsibilities.

70.245.050 - Consulting physician confirmation.

70.245.060 - Counseling referral.

70.245.070 - Informed decision.

70.245.080 - Notification of next of kin.

70.245.090 - Written and oral requests.

70.245.100 - Right to rescind request.

70.245.110 - Waiting periods.

70.245.120 - Medical record documentation requirements.

70.245.130 - Residency requirement.

70.245.140 - Disposal of unused medications.

70.245.150 - Reporting of information to the department of health—Adoption of rules—Information collected not a public record—Annual statistical report.

70.245.160 - Effect on construction of wills, contracts, and statutes.

70.245.170 - Insurance or annuity policies.

70.245.180 - Authority of chapter—References to practices under this chapter—Applicable standard of care.

70.245.190 - Immunities—Basis for prohibiting health care provider from participation—Notification—Permissible sanctions.

70.245.200 - Willful alteration/forgery—Coercion or undue influence—Penalties—Civil damages—Other penalties not precluded.

70.245.210 - Claims by governmental entity for costs incurred.

70.245.220 - Form of the request.

70.245.901 - Short title—2009 c 1 (Initiative Measure No. 1000).

70.245.903 - Effective dates—2009 c 1 (Initiative Measure No. 1000).