Making an AMD is a voluntary decision. It is entirely up to you whether you wish to make one. In fact, it is a criminal offence for any person to force you to make one against your will.
An example is the respirator that is connected to a patient to assist him/her to breathe. It serves only to artificially prolong the life of a terminally ill patient.
The forms are available from medical clinics, polyclinics and hospitals. You may also ask your doctor for a form when you have decided to make an AMD. Alternatively, you can also download the AMD form online at here.
N.B.: When printing out the form, please print it on both sides of one sheet of paper.
Both witnesses must not have any vested interests in the patient's death. If the witnesses are relatives, so long as they have no vested interests in the patient's death, they would be allowed to act as witness.
Forcing or misleading another person into signing an AMD is an offence punishable under the law. If convicted, such a person shall be fined and imprisoned and disqualified as a beneficiary.
An AMD acts as advanced instruction for form, you instruct your doctor in advance, not to prolong your life with extraordinary life-sustaining treatment, and to let the dying process take its natural course when you become terminally ill and unconscious.
No, the AMD Act does NOT encourage euthanasia. On the contrary, the AMD Act is explicitly and categorically against euthanasia. The Act states :
Section 17(2) - It is hereby declared that nothing in this Act shall condone, authorise or approve abetment of suicide, mercy killing or euthanasia.
A terminally ill patient CANNOT use the AMD to commit suicide, nor does the AMD allow doctors to assist in any suicide attempt. This is punishable by law.
Even if the AMD has taken effect, palliative care and medication will continue to be provided.
The AMD Act specifies that palliative care includes:
This is the current practice, and will continue whether or not the patient has made an AMD.
Revocations should be sent to the Registry of AMDs as soon as possible.
In this situation, an AMD can be revoked orally or in any other way in which you can communicate. It is then the responsibility of the witness to the revocation to submit the notice of revocation using Form 3 or the letter as described above. The witness should also state the reason why the person revoking the AMD could not do so himself.