www.dyingwithdignity.ca
Open in
urlscan Pro
35.208.27.202
Public Scan
Submitted URL: http://www.dyingwithdignity.ca/education-resources/advance-care-planning-kit/=/
Effective URL: https://www.dyingwithdignity.ca/education-resources/advance-care-planning-kit/=/
Submission: On December 17 via api from AE — Scanned from CA
Effective URL: https://www.dyingwithdignity.ca/education-resources/advance-care-planning-kit/=/
Submission: On December 17 via api from AE — Scanned from CA
Form analysis 3 forms found in the DOM
GET https://www.dyingwithdignity.ca
<form role="search" class="searchbutton" method="get" id="searchform" action="https://www.dyingwithdignity.ca">
<label for="s" class="visuallyhidden">Search</label>
<input type="search" placeholder="Search" title="Search" name="s" id="s">
<button>
<svg xmlns="http://www.w3.org/2000/svg" width="17" height="17" viewBox="0 0 17 17">
<path id="search-solid" d="M9.891,3a6.606,6.606,0,0,1,5.123,10.783l5.267,5.267-.95.95-5.267-5.267A6.609,6.609,0,1,1,9.891,3Zm0,1.322A5.288,5.288,0,1,0,15.179,9.61,5.278,5.278,0,0,0,9.891,4.322Z" transform="translate(-3.281 -3)"></path>
</svg>
<span class="visuallyhidden">Search</span>
</button>
</form>GET https://www.dyingwithdignity.ca
<form role="search" class="searchbutton" method="get" id="searchform" action="https://www.dyingwithdignity.ca">
<label for="s" class="visuallyhidden">Search</label>
<input type="search" placeholder="Search" title="Search" name="s" id="s">
<button>
<svg xmlns="http://www.w3.org/2000/svg" width="17" height="17" viewBox="0 0 17 17">
<path id="search-solid" d="M9.891,3a6.606,6.606,0,0,1,5.123,10.783l5.267,5.267-.95.95-5.267-5.267A6.609,6.609,0,1,1,9.891,3Zm0,1.322A5.288,5.288,0,1,0,15.179,9.61,5.278,5.278,0,0,0,9.891,4.322Z" transform="translate(-3.281 -3)"></path>
</svg>
<span class="visuallyhidden">Search</span>
</button>
</form>POST /education-resources/advance-care-planning-kit/=%2F
<form method="post" enctype="multipart/form-data" id="gform_1" class="newsletter-signup-form" action="/education-resources/advance-care-planning-kit/=%2F" data-formid="1" novalidate="">
<div class="gform-body gform_body">
<div id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below validation_below">
<fieldset id="field_1_1" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_1_1">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_1_1">
<span id="input_1_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.3" id="input_1_1_3" value="" aria-required="true" placeholder="First Name">
<label for="input_1_1_3" class="gform-field-label gform-field-label--type-sub ">First</label>
</span>
<span id="input_1_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.6" id="input_1_1_6" value="" aria-required="true" placeholder="Last Name">
<label for="input_1_1_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
</span>
</div>
</fieldset>
<div id="field_1_2" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_1_2"><label class="gfield_label gform-field-label" for="input_1_2">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_2" id="input_1_2" type="email" value="" class="large" placeholder="Email" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_1_3" class="gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_1_3"><label class="gfield_label gform-field-label" for="input_1_3">Postal Code<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_1_3" type="text" value="" class="large" placeholder="Postal Code" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_4" class="gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_4"><label
class="gfield_label gform-field-label" for="input_1_4">CAPTCHA</label>
<div id="input_1_4" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LcC-wopAAAAAHb0X-Wut9W8jQSfNG-BKrveNwf5" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-xgyp1b372vk6" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcC-wopAAAAAHb0X-Wut9W8jQSfNG-BKrveNwf5&co=aHR0cHM6Ly93d3cuZHlpbmd3aXRoZGlnbml0eS5jYTo0NDM.&hl=en&v=zIriijn3uj5Vpknvt_LnfNbF&theme=light&size=normal&cb=rpizjnybt14j"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
<div id="field_1_5" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_5"><label
class="gfield_label gform-field-label" for="input_1_5">Name</label>
<div class="ginput_container"><input name="input_5" id="input_1_5" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_1_5">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Sign Up"
onclick="if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsImVjNjFkZjk5MDYzNzc0NTM4ZjgwMTU5NzhiMDBhMjkzIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>Text Content
Go to Main Content
1-800-495-6156
Toggle font size+AA
EN
* FR
Search Search
* About
* * Your Impact
* Recognizing our donors – As a charitable organization, Dying With
Dignity Canada’s work would not be possible were it not for the
generous contributions of our donors. We acknowledge – with an
enormous debt of gratitude – our group of financial supporters.
* Reports and financials – Dying With Dignity Canada’s past and present
Annual Reports, audited financials, and newsletters.
* Our Team
* Local Chapters
* * Calgary
* Edmonton
* Greater Toronto Area
* Metro Vancouver
* Niagara
* Nova Scotia
* * Okanagan
* Ottawa
* Prince Edward Island
* Victoria
* Winnipeg
* Our History
* Contact
* Media Center
* Advocacy
* * Featured Action
* * Allow advance requests nowAdd your name and tell your
Parliamentarians why this issue matters to you.
* Stop Institutional Religious Obstructions (including forced
transfers)Add your name and tell your Parliamentarians why this
issue matters to you.
* Allow MAID for mental illnessAdd your name and tell your
Parliamentarians why this issue matters to you.
* Current Priorities
* Past Priorities
* End-of-Life Support
* * Your rights and the law
* Navigating a request for medical assistance in dying – Everything you
need to know about requesting medical assistance in dying in your
province or territory.
* Get the facts on MAID – Learn more about Canada’s assisted dying law
and what it means for your right to a peaceful death.
* Medical assistance in dying
* * Navigating a request for medical assistance in dying
* * Alberta
* British Columbia
* Manitoba
* New Brunswick
* Newfoundland and Labrador
* Northwest Territories
* * Nova Scotia
* Nunavut
* Ontario
* Prince Edward Island
* Quebec
* Saskatchewan
* Yukon
* Find an Independent Witness for MAID
* Get the facts on MAID
* Palliative Care
* Other end-of-life options
* Get Involved
* * Volunteer
* Apply to volunteer – Join the movement to afford Canadians compassion
and choice at end of life.
* Current Volunteers
* Advocate for Change
* Upcoming Events
* Share your Story
* Ways to Give
* Education & Resources
* * Booklets
* * “In My Own Time”In My Own Time follows the emotional stories of
people across Canada who chose to end their suffering through
medical assistance in dying (MAID).
* Advance Care PlanningOur Advance Care Planning (ACP) Kit invites you
to think about and express your wishes for health care and treatment
at the end of life.
* Fact Sheet: Dementia and medical assistance in dying (MAID) This
fact sheet explains everything you need to know about Dementia and
medical assistance in dying (MAID) in Canada.
* Local Directories
* MAID Forms
* Webinars
* Upcoming Events
* Books, Movies, Podcasts – The World Federation of Right to Die Societies
maintains a collection of books, movies, and podcasts on their website.
* Blog
* * Personal Stories
* News & Updates
* View All Posts
*
* * Dr. Stefanie Green disproves content in anti-MAID video A misleading
video has been circulating and getting some significant attention.
* FAQ
* 1-800-495-6156
* Donate
Close
PAGE NOT FOUND
Apologies, but the page you requested could not be found. Perhaps searching will
help.
Search Search
STAY CONNECTED!
Sign up for the latest news with our e-newsletter!
Name(Required)
First Last
Email(Required)
Postal Code(Required)
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
ABOUT
* About Us
* FAQ
* Media Center
* Contact Us
LEARN
* Education & Resources
* Blog
* End of Life Support
GET INVOLVED
* Volunteer
* Share your story
* Upcoming Events
* Donate
* Careers and opportunities
About
* About Us
* FAQ
* Media Center
* Contact Us
Learn
* Education & Resources
* Blog
* End of Life Support
Get Involved
* Volunteer
* Share your story
* Upcoming Events
* Donate
* Careers and opportunities
© 2021 Dying With Dignity Canada Inc. All rights reserved. | CRA Charity
Registration Number: 11889 0086 RR0001
Privacy Policy Terms of Use Website by Day Shift Digital
* Facebook
* twitter
* Instagram
* LinkedIn
Notifications