End of Life Option Act: Resources & Materials
The End of Life Option Act at UCLA
People come to UCLA for innovative treatments for advanced disease. The more advanced the illness, the greater the importance of ensuring that patients’ goals guide the treatments they receive. This ensures that the most intensive treatments aim to achieve an outcome the patient desires, and it also means nimble re-orientation toward comfort-oriented treatment if the prognosis worsens and focus sets on a different set of goals. This requires in-depth, deliberate conversations between patients and their physicians. These conversations must include the possibility of aiming for comfort, palliative care and the value of hospice. For patients receiving intensive treatments for advanced illness, as well as for those focusing on comfort, UCLA aims to enhance the experience of patients and families toward the end of life. This means exploring meaning, coming together and making the most of this final phase.
For some patients, having a terminal condition means wanting to take control. At times, symptoms or suffering might become overwhelming. UCLA Health aims to ensure that symptom management and supportive care are always a priority, although we realize that in rare cases medicine’s ability to control suffering might be overmatched. Under these unusual circumstances, the End of Life Option Act permits a willing physician to respond to an eligible patient’s request with a prescription for an aid-in-dying medication.
At UCLA, our process also includes a clinical consultant who works to fulfill the patient’s request while at the same time ensuring that UCLA is providing the best possible treatment and affording the patient maximal support for the best experience at the end of life.
If you are a UCLA patient, ask your physician about your treatment options. Your UCLA physician is dedicated to making sure that your treatment matches your goals. If you have questions, you also can call the Simms/Mann–UCLA Center for Integrative Oncology at 310-794-6644 or you may call UCLA Care Coordination at 310-267-9702 and indicate your interest in the End of Life Option Act.
Below you will find detailed information on required End of Life Option Act forms, step-by-step guidelines for patients and healthcare providers, and general background information on the Act itself. For a broad overview of the Act and its implementation at UCLA, please visit: Introduction to California End of Life Option Act page.
In this section: General Materials | State Documents | UCLA Patient Materials
AB-15 End of life
Text of the End of Life Option Act
CMA On-Call: California End of Life Option Act
Guidance and information regarding the End of Life Option Act from the California Medical Association
California Hospital Association: End of Life Option Act
Guidance from the California Hospital Association
Implementing Aid in Dying in California: Experiences from Other States Indicates the Need for Strong Implementation Guidance”
A comparative analysis of statewide aid-in-dying laws by UCLA Center for Health Policy Research
HS 1490: The California End of Life Option Act
UCLA Health policy on implementation of the California End of Life Option Act
Documents may also be found on the Medical Board of California website.
Request for an Aid-in-Dying Drug to End My Life in a Humane and Dignified Manner form
Official form for patient to request aid-in-dying drug from one’s attending physician
Final Attestation for an Aid-in-Dying Drug to End My Life in a Humane and Dignified Manner form
Official form for patient to attest plan to ingest the aid-in-dying drug within 48 hours
Attending Physician Checklist and Compliance form
Official form for attending physician to ensure compliance in prescribing the aid-in-dying drug
Consulting Physician Compliance form
Official form for consulting physician to ensure compliance in prescribing the aid-in-dying drug
Attending Physician Follow-Up form
Official form that attending physician completes after the patient’s death
Request for an Aid-in-Dying Interpreter Declaration form
Official form for interpreter to sign after helping patient complete the aid-in-dying drug request
UCLA Patient Materials
Introductory, explanatory and guiding materials were developed by the clinical consultants team under the direction of Anne Coscarelli, PhD, of the Simms/Mann–UCLA Center for Integrative Oncology.
Introduction to the End of Life Option Act
Context and introduction to how the End of Life Option Act is implemented at UCLA Health
California End of Life Option Act: Information for Our UCLA Patients
An introduction to the End of Life Option Act for the person contemplating participation and the role of the clinical consultant
Aid-in-dying Options: Finding One’s Way to Clarity
Assistance in thinking about end-of-life care choices and its implications when thinking about end of life or aid-in-dying as one option
End of Life Resource List
Resources, ranging from transportation to hospice, for the patient or family facing end of life care
California End of Life Option Act: Information, Suggestions and Options for Patients
An introduction and step-by-step guide to the End of Life Option Act for patients
Preparing for Death: Guidelines for Your Family, Loved Ones or Caregivers
Practical information and guidance for loved ones and caregivers about being with a dying person
Preparing for Your Own Death: Instructions and Essential Information
Personal preparation for the experience of dying
Preparing for Your Own Death: Personal Checklist
Important things to do or discuss when preparing for end of life that may benefit patient and family
Safe Drug Drop-Off Locations
Safe Drug Drop-Off program’s sheriff station locations in the Los Angeles Area
Written Legacies: A Valuable Gift for Those You Love
Guidance on creating a written legacy, a valuable resource that may comfort and guide children and others you care about in the future