Western Australian Current Acts Western Australian Current Acts (1) A patient may make
a written declaration requesting access to voluntary assisted dying if the
patient has been assessed as eligible for access to voluntary assisted dying
by —
(a) the
coordinating practitioner for the patient; and
(b) the
consulting practitioner for the patient.
(2) The written
declaration must be in the approved form and given to the coordinating
practitioner for the patient.
(3) The written
declaration must —
(a)
specify that the patient —
(i)
makes it voluntarily and without coercion; and
(ii)
understands its nature and effect;
and
(b) be
signed by the patient, or a person referred to in subsection (4), in the
presence of 2 witnesses; and
(c)
include the following —
(i)
the name, date of birth and contact details of the
patient;
(ii)
if the patient was assisted by an interpreter, the name,
contact details and accreditation details of the interpreter;
(iii)
the name and contact details of the coordinating
practitioner for the patient.
(4) A person may sign
the written declaration on behalf of the patient if —
(a) the
patient is unable to sign the declaration; and
(b) the
patient directs the person to sign the declaration; and
(c) the
person —
(i)
has reached 18 years of age; and
(ii)
is not a witness to the signing of the declaration; and
(iii)
is not the coordinating practitioner or consulting
practitioner for the patient making the declaration.
(5) A person who signs
the written declaration on behalf of the patient must do so in the
patient’s presence.
(6) If the patient
makes the written declaration with the assistance of an interpreter, the
interpreter must certify on the declaration that the interpreter provided a
true and correct translation of any material translated.