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Current as of January 01, 2026 | Updated by Findlaw Staff
An attending physician or attending APRN must do all of the following before prescribing medication to an individual who provides a document under § 2505C of this title requesting medication that will end the individual's life in a humane and dignified manner:
(1) Provide care that conforms with accepted medical standards and guidelines.
(2) Determine if the individual requesting medication that will end the individual's life in a humane and dignified manner meets all of the following:
a. Has a terminal illness.
b. Has decision-making capacity.
c. Has voluntarily made the request for medication that will end the individual's life in a humane and dignified manner.
(3) Request that the individual demonstrate Delaware residency. Examples of documents that demonstrate Delaware residency include all of the following:
a. A driver's license or identification card issued under Title 21.
b. A voter registration card or other documentation showing the individual is registered to vote in this State.
c. Evidence that the individual owns or leases property in this State.
d. A Delaware resident income tax return for the most recent tax year.
(4) Provide full disclosures to affirm that the individual is making an informed decision by discussing all of the following with the individual:
a. The individual's medical diagnosis and prognosis of 6 months or less to live.
b. The potential risks associated with taking the medication to be prescribed to end the individual's life in a humane and dignified manner.
c. The expected result of taking the medication to be prescribed to end the individual's life in a humane and dignified manner.
d. The choices available to the individual, including the possibility that the individual may choose not to fill the prescription for the medication, or may fill the prescription for the medication but may decide not to self-administer it.
e. The feasible alternative, concurrent, or additional treatment opportunities, including comfort care, palliative care, hospice care, and pain control.
(5) Confirm that the individual's request does not arise from coercion or undue influence by another person by discussing with the individual, outside the presence of another individual, except for an interpreter as necessary, whether the individual is feeling coerced or unduly influenced by another individual.
(6) Refer the individual to a consulting physician or consulting APRN under § 2509C of this title and add the consulting physician's or consulting APRN's written determination to the individual's medical record.
(7) Refer the individual to a psychiatrist or psychologist under § 2510C of this title, if the attending physician or attending APRN believes the individual may not have decision-making capacity and add the psychiatrist or psychologist's written determination to the individual's medical record.
(8) Counsel the individual on the potential benefits of all of the following:
a. Notifying family of the individual's decision to request and obtain medication to end the individual's life in a humane and dignified manner as 1 of the individual's end-of-life care options.
b. Having another person present when the individual self-administers the medication that is to be prescribed to end the individual's life in a humane and dignified manner.
(9) Counsel the individual on the importance of all of the following:
a. Safe-keeping and proper disposal of unused medication to end the individual's life in a humane and dignified manner in accordance with applicable state or United States Food and Drug Administration guidelines, such as using a medication collection site or a medication disposal pouch.
b. Not taking the medication to end the individual's life in a humane and dignified manner in a public place.
(10) Inform the individual that the individual may rescind the request for medication to end the individual's life in a humane and dignified manner at any time and in any manner.
(11) Immediately before writing a prescription for medication to end the individual's life in a humane and dignified manner, verify all of the following:
a. The individual is making an informed decision under paragraph (4) of this section.
b. It is at least 48 hours after the individual submitted the written request under § 2505C of this title.
(12) Ensure that all appropriate steps are carried out in accordance with this chapter before writing a prescription for medication to end the individual's life in a humane and dignified manner and do 1 of the following:
a. Dispense the medication to the qualified patient, including ancillary medications intended to minimize the individual's discomfort, if the attending physician or attending APRN has a current Drug Enforcement Administration certificate and complies with any applicable administrative rule.
b. Provide to the qualified patient, orally and in writing or electronically, the safe-keeping and proper disposal information required under paragraph (9)a. of this section.
c. Deliver the written prescription personally, by mail, or through an authorized electronic transmission to a licensed pharmacist. The licensed pharmacist will dispense the medication to end the qualified patient's life in a humane and dignified manner either in person or with a signature required on delivery if sent by mail service or messenger service, to the qualified patient, the attending physician, attending APRN, or to an individual expressly designated by the qualified patient.
(13) Document all of the following in the individual's medical record:
a. The individual's prognosis.
b. The individual's decision-making capacity.
c. The date of the individual's first oral request.
d. The date of the individual's second oral request.
e. The individual's valid written request, including the date and time received.
f. A notation that all the requirements under this section have been completed, and the medications dispensed or prescribed to end the qualified patient's life in a humane and dignified manner and ancillary medications dispensed or prescribed.
Cite this article: FindLaw.com - Delaware Code Title 16. Health and Safety § 2508C. Responsibilities of the attending physician or attending APRN - last updated January 01, 2026 | https://codes.findlaw.com/de/title-16-health-and-safety/de-code-sect-16-2508c/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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