Tier 1 — Paying it Forward: If you have financial flexibility.

Agreement and Guidelines for a Safe and Peaceful MAID Process 

Thank you for trusting our team. It is a privilege to support you through this process.

This agreement provides important information for non-residents of Vermont pursuing Medical Aid in Dying under Vermont law, commonly referred to as Act 39. It outlines how The Comfort Project can support you, as well as what we need from you to provide that support effectively.

The Comfort Project acknowledges that you are pursuing Medical Aid in Dying of your own free will. Our team members are not responsible for your decision and will not attempt to influence your decision or actions related to Medical Aid in Dying. You retain the right to change your mind at any time.

What We Offer

The Comfort Project provides comprehensive, non-medical support for individuals pursuing Medical Aid in Dying in Vermont. We guide you through the process, from initial planning through the day the medication is taken.

• We help clarify information about Medical Aid in Dying eligibility requirements and the steps needed to complete the process.

• We help you coordinate with your medical team in Vermont, including physicians, hospice providers, and pharmacists, all of whom are separate and independent from The Comfort Project.

• With your permission, a member of our team may participate in your physician appointments to provide support, help ensure clear communication, and assist you in understanding next steps.

• We assist in identifying appropriate local lodging during your visits to Vermont for medical appointments, including an appropriate location for taking the medication.

• We provide information to help you coordinate after-death care arrangements.

• We provide an authorized courier to pick up the medication from the pharmacist and deliver it to the location where you will take it.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a strategy for the date you plan to take the medication.

• We keep the medical team informed of logistical plans related to your pursuit of Medical Aid in Dying.

• On the day you plan to take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication.

• After death, we coordinate the official pronouncement of death and notify the appropriate professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the medication-taking and immediate after-death process is complete.

• We provide information about free grief support resources.

What We Need From You

A peaceful and smooth Medical Aid in Dying experience depends on thoughtful preparation and collaboration. By purchasing our services, you acknowledge that you are responsible for completing the necessary tasks described below.

• Retain medical decision-making authority unless you have formally designated another individual through appropriate legal documentation. Decisions related specifically to Medical Aid in Dying must be made and expressed directly by you, in accordance with applicable legal requirements.

• Provide complete contact information, including name, phone number, email address, and physical address, for yourself and a responsible adult caregiver who is able and willing to assist with your daily non-medical needs and remain with you throughout your stay in Vermont.

• Provide us with the schedule of your Medical Aid in Dying medical appointments and inform us promptly of any changes to appointment dates or times.

• Provide the information and documentation we need to coordinate your support. This includes:

  1. Your valid photo ID (a copy is sufficient);

  2. Your DNR, POLST, or MOLST (a copy is sufficient);

  3. Your signed and witnessed Request for Medication Form (a copy is sufficient);

  4. Documentation from your prescribing physician confirming your intent to pursue Medical Aid in Dying. (Please request this documentation directly from your physician.)

  5. A completed Authorization for Medication Pick-Up and Delivery (electronically signed and dated)

  6. The Medical Aid in Dying medication prescription (this will be available once your medication is delivered to you on the date you plan to take it).

• Keep us informed of the date you wish to take the medication and notify us of any changes as soon as possible. We request at least two weeks' notice so that we can help coordinate the necessary arrangements. Scheduling depends upon the availability of multiple people and services and is not entirely within The Comfort Project's control.

• Communicate any changes in your condition or circumstances that may affect your Medical Aid in Dying plans.

• Follow the standard Vermont Medication Instructions provided to you regarding the protocol for the day you take the medication.

What We Do Not Offer

The Comfort Project does not assume custodial, medical, guardianship, housing, or long-term care responsibility for you during or beyond the terms of this agreement.

The Comfort Project does not provide medical advice or treatment, determine medical eligibility, or prescribe medication. All medical care, medical advice, eligibility determinations, prescribing, and clinical services remain the responsibility of the licensed medical professionals involved in your care.

Authorization for Disclosure and Receipt of Information

By purchasing our services, you authorize The Comfort Project to request, receive, maintain, and share information and documentation as reasonably necessary to coordinate your support.

You authorize The Comfort Project and members of its non-medical support team who are directly involved in supporting you to exchange information on your behalf with:

• The physicians you work with in pursuing Medical Aid in Dying in Vermont;

• The hospice supporting you during your stay in Vermont, if applicable;

• The designated compounding pharmacist in Vermont; and

• The medical professional or organization responsible for the official pronouncement of death.

This authorization is limited to information and documentation reasonably necessary for The Comfort Project to provide logistical and non-medical support related to your pursuit of Medical Aid in Dying in Vermont.

Right to Revoke Authorization

You may revoke this authorization at any time by providing written notice to The Comfort Project. Revocation terminates this agreement, but does not affect information already received, shared, or relied upon before the revocation became effective.

Services Offered and Payment Structure

The sections below describe the specific services we provide. Equally important are the less tangible ways we offer emotional guidance and support to the people involved in this extraordinary choice. This process can have a profound effect on everyone involved, and the comfort and presence we provide are an important part of our work together.

Initial Planning Phase: First Payment

50% of total fee

Payment Requirements

The first payment is due when you purchase our services. This agreement becomes effective when the initial payment has been received.

Services Included with First Payment

You, your family, friends, and caregivers will be given access to the Client Portal, a comprehensive collection of resources we have developed to help you navigate the process.

Services include:

• Ongoing communication throughout the process to assist with planning;

• Coordination with your physicians, hospice providers (if applicable), and pharmacists in Vermont;

• Meetings with you and your support team by phone or Zoom to develop a plan based on your needs, your timeframe, and the availability of service providers in Vermont;

• Assistance coordinating travel and accommodations; and

• Availability for questions as they arise while you complete the required medical appointments.

Duration of the Initial Planning Phase

This phase includes the period during which you are pursuing eligibility for Medical Aid in Dying and completing the required physician appointments. During this phase, services are provided while you continue to reside in your home state and travel to Vermont for medical appointments, with the intention of returning home after each visit.

If you plan to remain in Vermont while completing your medical appointments rather than returning home between visits, the second payment for the Final Coordination Phase is due before you arrive in Vermont. In this situation, the twenty-one (21) day Final Coordination Phase begins on the date of your arrival in Vermont.

Initial Planning Phase services are available for up to twelve (12) months from the date this agreement begins. If you wish to continue receiving services after the agreement expires, a new agreement and applicable payment will be required.

Final Coordination Phase: Second Payment

50% of total fee

Payment Requirements

The second payment is due once the date you plan to take the medication has been coordinated and confirmed with The Comfort Project, and prior to traveling to Vermont for that date. 

Services Included with Second Payment

• We keep the medical team informed of logistical plans related to taking the medication.

• Together, we identify an appropriate location where you can take the medication.

• We assist with coordination of after-death care arrangements.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a plan for the day you'll take the medication.

• Our authorized courier picks up the medication from the pharmacist in Vermont and delivers it to the location where you'll take it.

• On the day you take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication according to the instructions provided.

• After death, we coordinate the official pronouncement of death and notify the appropriate hospice, funeral provider, and other professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the after-death process is complete.

• We provide information about grief support resources.

Duration of the Final Coordination Phase

This phase begins when you arrive in Vermont for the purpose of remaining in Vermont to complete the Medical Aid in Dying process, as coordinated with The Comfort Project. It continues for twenty-one (21) consecutive calendar days, beginning on the date of your arrival.

The Comfort Project provides non-medical logistical coordination and support only. At no time does The Comfort Project provide medical care, custodial care, housing, or daily caregiving services. Arranging for these services, when needed, is the responsibility of you and your designated caregivers, in coordination with the licensed medical professionals involved in your care.

If you remain in Vermont beyond the twenty-one (21) day Final Coordination Phase, The Comfort Project's coordination services conclude unless additional services are requested and agreed to in writing.

Additional coordination or logistical support requested beyond the twenty-one (21) day period may be provided at a rate of $500 per day, subject to availability and written agreement.

Term and Termination of Agreement

This agreement becomes effective when the initial payment has been received.

The agreement will terminate upon the earliest of the following:

• Completion of The Comfort Project's services following death;

• Expiration of the twelve (12) month Initial Planning Phase;

• Expiration of the twenty-one (21) day Final Coordination Phase;

• Your decision not to continue pursuing Medical Aid in Dying;

• Your natural death before a planned Medical Aid in Dying death;

• A determination by the appropriate medical professionals that you are not, or are no longer, eligible for Medical Aid in Dying;

• Termination by The Comfort Project due to non-payment, lack of a designated responsible caregiver, or circumstances outside the scope of this agreement;

• Termination by either party as otherwise permitted under this agreement.

Upon termination of this agreement by either party, The Comfort Project's obligations will cease except for reasonable administrative wrap-up and limited coordination of matters already underway, when appropriate.

Reimbursement

The Comfort Project's fee reflects the significant administrative coordination, professional time, and logistical preparation required to support each client's Medical Aid in Dying process. Much of this work occurs before your arrival in Vermont. For this reason, fees are generally non-refundable once coordination has begun.

Our intention is to act with fairness, clarity, and integrity, both toward the families we serve and toward the long-term viability of this work. If circumstances arise that prevent you from completing the Medical Aid in Dying process, The Comfort Project may review your individual circumstances and consider whether reimbursement is appropriate.

Refund decisions are made at the sole discretion of The Comfort Project and will take into account the extent of services already provided and expenses or commitments already incurred on your behalf.

Waiver of Liability

You, your heirs, successors, and assigns agree to waive any and all rights, claims, or causes of action that you may have against The Comfort Project and its team members arising from or related to the services provided under this agreement, to the fullest extent permitted by applicable law, except in cases of gross negligence or willful misconduct.

Acknowledgements

By purchasing our services, you acknowledge that:

• You are voluntarily pursuing Medical Aid in Dying and retain the right to change your mind at any time.

• The Comfort Project provides non-medical logistical coordination and support and does not determine your eligibility for Medical Aid in Dying or provide medical care.

• You understand your responsibilities under this agreement, including the need for a responsible caregiver during your stay in Vermont.

• You understand the services included in each phase, the applicable time limits, and the payment and reimbursement provisions described above.

• You authorize the limited exchange of information described in this agreement unless and until you revoke that authorization in writing.

• You have read and understand the Waiver of Liability above.

• You have had the opportunity to ask questions about this agreement.

You are entering into this agreement voluntarily and with an understanding of its contents.

Tier 2 — Full Cost: If you can afford the true cost of our services.

   Thank you for trusting our team. It is a privilege to support you through this process.

This agreement provides important information for non-residents of Vermont pursuing Medical Aid in Dying under Vermont law, commonly referred to as Act 39. It outlines how The Comfort Project can support you, as well as what we need from you to provide that support effectively.

The Comfort Project acknowledges that you are pursuing Medical Aid in Dying of your own free will. Our team members are not responsible for your decision and will not attempt to influence your decision or actions related to Medical Aid in Dying. You retain the right to change your mind at any time.

What We Offer

The Comfort Project provides comprehensive, non-medical support for individuals pursuing Medical Aid in Dying in Vermont. We guide you through the process, from initial planning through the day the medication is taken.

• We help clarify information about Medical Aid in Dying eligibility requirements and the steps needed to complete the process.

• We help you coordinate with your medical team in Vermont, including physicians, hospice providers, and pharmacists, all of whom are separate and independent from The Comfort Project.

• With your permission, a member of our team may participate in your physician appointments to provide support, help ensure clear communication, and assist you in understanding next steps.

• We assist in identifying appropriate local lodging during your visits to Vermont for medical appointments, including an appropriate location for taking the medication.

• We provide information to help you coordinate after-death care arrangements.

• We provide an authorized courier to pick up the medication from the pharmacist and deliver it to the location where you will take it.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a strategy for the date you plan to take the medication.

• We keep the medical team informed of logistical plans related to your pursuit of Medical Aid in Dying.

• On the day you plan to take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication.

• After death, we coordinate the official pronouncement of death and notify the appropriate professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the medication-taking and immediate after-death process is complete.

• We provide information about free grief support resources.

What We Need From You

A peaceful and smooth Medical Aid in Dying experience depends on thoughtful preparation and collaboration. By purchasing our services, you acknowledge that you are responsible for completing the necessary tasks described below.

• Retain medical decision-making authority unless you have formally designated another individual through appropriate legal documentation. Decisions related specifically to Medical Aid in Dying must be made and expressed directly by you, in accordance with applicable legal requirements.

• Provide complete contact information, including name, phone number, email address, and physical address, for yourself and a responsible adult caregiver who is able and willing to assist with your daily non-medical needs and remain with you throughout your stay in Vermont.

• Provide us with the schedule of your Medical Aid in Dying medical appointments and inform us promptly of any changes to appointment dates or times.

• Provide the information and documentation we need to coordinate your support. This includes:

  1. Your valid photo ID (a copy is sufficient);

  2. Your DNR, POLST, or MOLST (a copy is sufficient);

  3. Your signed and witnessed Request for Medication Form (a copy is sufficient);

  4. Documentation from your prescribing physician confirming your intent to pursue Medical Aid in Dying. (Please request this documentation directly from your physician.)

  5. A completed Authorization for Medication Pick-Up and Delivery (electronically signed and dated)

  6. The Medical Aid in Dying medication prescription (this will be available once your medication is delivered to you on the date you plan to take it).

• Keep us informed of the date you wish to take the medication and notify us of any changes as soon as possible. We request at least two weeks' notice so that we can help coordinate the necessary arrangements. Scheduling depends upon the availability of multiple people and services and is not entirely within The Comfort Project's control.

• Communicate any changes in your condition or circumstances that may affect your Medical Aid in Dying plans.

• Follow the standard Vermont Medication Instructions provided to you regarding the protocol for the day you take the medication.

What We Do Not Offer

The Comfort Project does not assume custodial, medical, guardianship, housing, or long-term care responsibility for you during or beyond the terms of this agreement.

The Comfort Project does not provide medical advice or treatment, determine medical eligibility, or prescribe medication. All medical care, medical advice, eligibility determinations, prescribing, and clinical services remain the responsibility of the licensed medical professionals involved in your care.

Authorization for Disclosure and Receipt of Information

By purchasing our services, you authorize The Comfort Project to request, receive, maintain, and share information and documentation as reasonably necessary to coordinate your support.

You authorize The Comfort Project and members of its non-medical support team who are directly involved in supporting you to exchange information on your behalf with:

• The physicians you work with in pursuing Medical Aid in Dying in Vermont;

• The hospice supporting you during your stay in Vermont, if applicable;

• The designated compounding pharmacist in Vermont; and

• The medical professional or organization responsible for the official pronouncement of death.

This authorization is limited to information and documentation reasonably necessary for The Comfort Project to provide logistical and non-medical support related to your pursuit of Medical Aid in Dying in Vermont.

Right to Revoke Authorization

You may revoke this authorization at any time by providing written notice to The Comfort Project. Revocation terminates this agreement, but does not affect information already received, shared, or relied upon before the revocation became effective.

Services Offered and Payment Structure

The sections below describe the specific services we provide. Equally important are the less tangible ways we offer emotional guidance and support to the people involved in this extraordinary choice. This process can have a profound effect on everyone involved, and the comfort and presence we provide are an important part of our work together.

Initial Planning Phase: First Payment

50% of total fee

Payment Requirements

The first payment is due when you purchase our services. This agreement becomes effective when the initial payment has been received.

Services Included with First Payment

You, your family, friends, and caregivers will be given access to the Client Portal, a comprehensive collection of resources we have developed to help you navigate the process.

Services include:

• Ongoing communication throughout the process to assist with planning;

• Coordination with your physicians, hospice providers (if applicable), and pharmacists in Vermont;

• Meetings with you and your support team by phone or Zoom to develop a plan based on your needs, your timeframe, and the availability of service providers in Vermont;

• Assistance coordinating travel and accommodations; and

• Availability for questions as they arise while you complete the required medical appointments.

Duration of the Initial Planning Phase

This phase includes the period during which you are pursuing eligibility for Medical Aid in Dying and completing the required physician appointments. During this phase, services are provided while you continue to reside in your home state and travel to Vermont for medical appointments, with the intention of returning home after each visit.

If you plan to remain in Vermont while completing your medical appointments rather than returning home between visits, the second payment for the Final Coordination Phase is due before you arrive in Vermont. In this situation, the twenty-one (21) day Final Coordination Phase begins on the date of your arrival in Vermont.

Initial Planning Phase services are available for up to twelve (12) months from the date this agreement begins. If you wish to continue receiving services after the agreement expires, a new agreement and applicable payment will be required.

Final Coordination Phase: Second Payment

50% of total fee

Payment Requirements

The second payment is due once the date you plan to take the medication has been coordinated and confirmed with The Comfort Project, and prior to traveling to Vermont for that date. 

Services Included with Second Payment

• We keep the medical team informed of logistical plans related to taking the medication.

• Together, we identify an appropriate location where you can take the medication.

• We assist with coordination of after-death care arrangements.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a plan for the day you'll take the medication.

• Our authorized courier picks up the medication from the pharmacist in Vermont and delivers it to the location where you'll take it.

• On the day you take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication according to the instructions provided.

• After death, we coordinate the official pronouncement of death and notify the appropriate hospice, funeral provider, and other professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the after-death process is complete.

• We provide information about grief support resources.

Duration of the Final Coordination Phase

This phase begins when you arrive in Vermont for the purpose of remaining in Vermont to complete the Medical Aid in Dying process, as coordinated with The Comfort Project. It continues for twenty-one (21) consecutive calendar days, beginning on the date of your arrival.

The Comfort Project provides non-medical logistical coordination and support only. At no time does The Comfort Project provide medical care, custodial care, housing, or daily caregiving services. Arranging for these services, when needed, is the responsibility of you and your designated caregivers, in coordination with the licensed medical professionals involved in your care.

If you remain in Vermont beyond the twenty-one (21) day Final Coordination Phase, The Comfort Project's coordination services conclude unless additional services are requested and agreed to in writing.

Additional coordination or logistical support requested beyond the twenty-one (21) day period may be provided at a rate of $500 per day, subject to availability and written agreement.

Term and Termination of Agreement

This agreement becomes effective when the initial payment has been received.

The agreement will terminate upon the earliest of the following:

• Completion of The Comfort Project's services following death;

• Expiration of the twelve (12) month Initial Planning Phase;

• Expiration of the twenty-one (21) day Final Coordination Phase;

• Your decision not to continue pursuing Medical Aid in Dying;

• Your natural death before a planned Medical Aid in Dying death;

• A determination by the appropriate medical professionals that you are not, or are no longer, eligible for Medical Aid in Dying;

• Termination by The Comfort Project due to non-payment, lack of a designated responsible caregiver, or circumstances outside the scope of this agreement;

• Termination by either party as otherwise permitted under this agreement.

Upon termination of this agreement by either party, The Comfort Project's obligations will cease except for reasonable administrative wrap-up and limited coordination of matters already underway, when appropriate.

Reimbursement

The Comfort Project's fee reflects the significant administrative coordination, professional time, and logistical preparation required to support each client's Medical Aid in Dying process. Much of this work occurs before your arrival in Vermont. For this reason, fees are generally non-refundable once coordination has begun.

Our intention is to act with fairness, clarity, and integrity, both toward the families we serve and toward the long-term viability of this work. If circumstances arise that prevent you from completing the Medical Aid in Dying process, The Comfort Project may review your individual circumstances and consider whether reimbursement is appropriate.

Refund decisions are made at the sole discretion of The Comfort Project and will take into account the extent of services already provided and expenses or commitments already incurred on your behalf.

Waiver of Liability

You, your heirs, successors, and assigns agree to waive any and all rights, claims, or causes of action that you may have against The Comfort Project and its team members arising from or related to the services provided under this agreement, to the fullest extent permitted by applicable law, except in cases of gross negligence or willful misconduct.

Acknowledgements

By purchasing our services, you acknowledge that:

• You are voluntarily pursuing Medical Aid in Dying and retain the right to change your mind at any time.

• The Comfort Project provides non-medical logistical coordination and support and does not determine your eligibility for Medical Aid in Dying or provide medical care.

• You understand your responsibilities under this agreement, including the need for a responsible caregiver during your stay in Vermont.

• You understand the services included in each phase, the applicable time limits, and the payment and reimbursement provisions described above.

• You authorize the limited exchange of information described in this agreement unless and until you revoke that authorization in writing.

• You have read and understand the Waiver of Liability above.

• You have had the opportunity to ask questions about this agreement.

You are entering into this agreement voluntarily and with an understanding of its contents.

Tier 3 — Shared Cost: If paying the full cost would create financial strain.

Thank you for trusting our team. It is a privilege to support you through this process.

This agreement provides important information for non-residents of Vermont pursuing Medical Aid in Dying under Vermont law, commonly referred to as Act 39. It outlines how The Comfort Project can support you, as well as what we need from you to provide that support effectively.

The Comfort Project acknowledges that you are pursuing Medical Aid in Dying of your own free will. Our team members are not responsible for your decision and will not attempt to influence your decision or actions related to Medical Aid in Dying. You retain the right to change your mind at any time.

What We Offer

The Comfort Project provides comprehensive, non-medical support for individuals pursuing Medical Aid in Dying in Vermont. We guide you through the process, from initial planning through the day the medication is taken.

• We help clarify information about Medical Aid in Dying eligibility requirements and the steps needed to complete the process.

• We help you coordinate with your medical team in Vermont, including physicians, hospice providers, and pharmacists, all of whom are separate and independent from The Comfort Project.

• With your permission, a member of our team may participate in your physician appointments to provide support, help ensure clear communication, and assist you in understanding next steps.

• We assist in identifying appropriate local lodging during your visits to Vermont for medical appointments, including an appropriate location for taking the medication.

• We provide information to help you coordinate after-death care arrangements.

• We provide an authorized courier to pick up the medication from the pharmacist and deliver it to the location where you will take it.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a strategy for the date you plan to take the medication.

• We keep the medical team informed of logistical plans related to your pursuit of Medical Aid in Dying.

• On the day you plan to take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication.

• After death, we coordinate the official pronouncement of death and notify the appropriate professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the medication-taking and immediate after-death process is complete.

• We provide information about free grief support resources.

What We Need From You

A peaceful and smooth Medical Aid in Dying experience depends on thoughtful preparation and collaboration. By purchasing our services, you acknowledge that you are responsible for completing the necessary tasks described below.

• Retain medical decision-making authority unless you have formally designated another individual through appropriate legal documentation. Decisions related specifically to Medical Aid in Dying must be made and expressed directly by you, in accordance with applicable legal requirements.

• Provide complete contact information, including name, phone number, email address, and physical address, for yourself and a responsible adult caregiver who is able and willing to assist with your daily non-medical needs and remain with you throughout your stay in Vermont.

• Provide us with the schedule of your Medical Aid in Dying medical appointments and inform us promptly of any changes to appointment dates or times.

• Provide the information and documentation we need to coordinate your support. This includes:

  1. Your valid photo ID (a copy is sufficient);

  2. Your DNR, POLST, or MOLST (a copy is sufficient);

  3. Your signed and witnessed Request for Medication Form (a copy is sufficient);

  4. Documentation from your prescribing physician confirming your intent to pursue Medical Aid in Dying. (Please request this documentation directly from your physician.)

  5. A completed Authorization for Medication Pick-Up and Delivery (electronically signed and dated)

  6. The Medical Aid in Dying medication prescription (this will be available once your medication is delivered to you on the date you plan to take it).

• Keep us informed of the date you wish to take the medication and notify us of any changes as soon as possible. We request at least two weeks' notice so that we can help coordinate the necessary arrangements. Scheduling depends upon the availability of multiple people and services and is not entirely within The Comfort Project's control.

• Communicate any changes in your condition or circumstances that may affect your Medical Aid in Dying plans.

• Follow the standard Vermont Medication Instructions provided to you regarding the protocol for the day you take the medication.

What We Do Not Offer

The Comfort Project does not assume custodial, medical, guardianship, housing, or long-term care responsibility for you during or beyond the terms of this agreement.

The Comfort Project does not provide medical advice or treatment, determine medical eligibility, or prescribe medication. All medical care, medical advice, eligibility determinations, prescribing, and clinical services remain the responsibility of the licensed medical professionals involved in your care.

Authorization for Disclosure and Receipt of Information

By purchasing our services, you authorize The Comfort Project to request, receive, maintain, and share information and documentation as reasonably necessary to coordinate your support.

You authorize The Comfort Project and members of its non-medical support team who are directly involved in supporting you to exchange information on your behalf with:

• The physicians you work with in pursuing Medical Aid in Dying in Vermont;

• The hospice supporting you during your stay in Vermont, if applicable;

• The designated compounding pharmacist in Vermont; and

• The medical professional or organization responsible for the official pronouncement of death.

This authorization is limited to information and documentation reasonably necessary for The Comfort Project to provide logistical and non-medical support related to your pursuit of Medical Aid in Dying in Vermont.

Right to Revoke Authorization

You may revoke this authorization at any time by providing written notice to The Comfort Project. Revocation terminates this agreement, but does not affect information already received, shared, or relied upon before the revocation became effective.

Services Offered and Payment Structure

The sections below describe the specific services we provide. Equally important are the less tangible ways we offer emotional guidance and support to the people involved in this extraordinary choice. This process can have a profound effect on everyone involved, and the comfort and presence we provide are an important part of our work together.

Initial Planning Phase: First Payment

50% of total fee

Payment Requirements

The first payment is due when you purchase our services. This agreement becomes effective when the initial payment has been received.

Services Included with First Payment

You, your family, friends, and caregivers will be given access to the Client Portal, a comprehensive collection of resources we have developed to help you navigate the process.

Services include:

• Ongoing communication throughout the process to assist with planning;

• Coordination with your physicians, hospice providers (if applicable), and pharmacists in Vermont;

• Meetings with you and your support team by phone or Zoom to develop a plan based on your needs, your timeframe, and the availability of service providers in Vermont;

• Assistance coordinating travel and accommodations; and

• Availability for questions as they arise while you complete the required medical appointments.

Duration of the Initial Planning Phase

This phase includes the period during which you are pursuing eligibility for Medical Aid in Dying and completing the required physician appointments. During this phase, services are provided while you continue to reside in your home state and travel to Vermont for medical appointments, with the intention of returning home after each visit.

If you plan to remain in Vermont while completing your medical appointments rather than returning home between visits, the second payment for the Final Coordination Phase is due before you arrive in Vermont. In this situation, the twenty-one (21) day Final Coordination Phase begins on the date of your arrival in Vermont.

Initial Planning Phase services are available for up to twelve (12) months from the date this agreement begins. If you wish to continue receiving services after the agreement expires, a new agreement and applicable payment will be required.

Final Coordination Phase: Second Payment

50% of total fee

Payment Requirements

The second payment is due once the date you plan to take the medication has been coordinated and confirmed with The Comfort Project, and prior to traveling to Vermont for that date. 

Services Included with Second Payment

• We keep the medical team informed of logistical plans related to taking the medication.

• Together, we identify an appropriate location where you can take the medication.

• We assist with coordination of after-death care arrangements.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a plan for the day you'll take the medication.

• Our authorized courier picks up the medication from the pharmacist in Vermont and delivers it to the location where you'll take it.

• On the day you take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication according to the instructions provided.

• After death, we coordinate the official pronouncement of death and notify the appropriate hospice, funeral provider, and other professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the after-death process is complete.

• We provide information about grief support resources.

Duration of the Final Coordination Phase

This phase begins when you arrive in Vermont for the purpose of remaining in Vermont to complete the Medical Aid in Dying process, as coordinated with The Comfort Project. It continues for twenty-one (21) consecutive calendar days, beginning on the date of your arrival.

The Comfort Project provides non-medical logistical coordination and support only. At no time does The Comfort Project provide medical care, custodial care, housing, or daily caregiving services. Arranging for these services, when needed, is the responsibility of you and your designated caregivers, in coordination with the licensed medical professionals involved in your care.

If you remain in Vermont beyond the twenty-one (21) day Final Coordination Phase, The Comfort Project's coordination services conclude unless additional services are requested and agreed to in writing.

Additional coordination or logistical support requested beyond the twenty-one (21) day period may be provided at a rate of $500 per day, subject to availability and written agreement.

Term and Termination of Agreement

This agreement becomes effective when the initial payment has been received.

The agreement will terminate upon the earliest of the following:

• Completion of The Comfort Project's services following death;

• Expiration of the twelve (12) month Initial Planning Phase;

• Expiration of the twenty-one (21) day Final Coordination Phase;

• Your decision not to continue pursuing Medical Aid in Dying;

• Your natural death before a planned Medical Aid in Dying death;

• A determination by the appropriate medical professionals that you are not, or are no longer, eligible for Medical Aid in Dying;

• Termination by The Comfort Project due to non-payment, lack of a designated responsible caregiver, or circumstances outside the scope of this agreement;

• Termination by either party as otherwise permitted under this agreement.

Upon termination of this agreement by either party, The Comfort Project's obligations will cease except for reasonable administrative wrap-up and limited coordination of matters already underway, when appropriate.

Reimbursement

The Comfort Project's fee reflects the significant administrative coordination, professional time, and logistical preparation required to support each client's Medical Aid in Dying process. Much of this work occurs before your arrival in Vermont. For this reason, fees are generally non-refundable once coordination has begun.

Our intention is to act with fairness, clarity, and integrity, both toward the families we serve and toward the long-term viability of this work. If circumstances arise that prevent you from completing the Medical Aid in Dying process, The Comfort Project may review your individual circumstances and consider whether reimbursement is appropriate.

Refund decisions are made at the sole discretion of The Comfort Project and will take into account the extent of services already provided and expenses or commitments already incurred on your behalf.

Waiver of Liability

You, your heirs, successors, and assigns agree to waive any and all rights, claims, or causes of action that you may have against The Comfort Project and its team members arising from or related to the services provided under this agreement, to the fullest extent permitted by applicable law, except in cases of gross negligence or willful misconduct.

Acknowledgements

By purchasing our services, you acknowledge that:

• You are voluntarily pursuing Medical Aid in Dying and retain the right to change your mind at any time.

• The Comfort Project provides non-medical logistical coordination and support and does not determine your eligibility for Medical Aid in Dying or provide medical care.

• You understand your responsibilities under this agreement, including the need for a responsible caregiver during your stay in Vermont.

• You understand the services included in each phase, the applicable time limits, and the payment and reimbursement provisions described above.

• You authorize the limited exchange of information described in this agreement unless and until you revoke that authorization in writing.

• You have read and understand the Waiver of Liability above.

• You have had the opportunity to ask questions about this agreement.

You are entering into this agreement voluntarily and with an understanding of its contents.

Tier 4 — Supported Cost: If significant financial constraints make the full cost prohibitive.

Thank you for trusting our team. It is a privilege to support you through this process.

This agreement provides important information for non-residents of Vermont pursuing Medical Aid in Dying under Vermont law, commonly referred to as Act 39. It outlines how The Comfort Project can support you, as well as what we need from you to provide that support effectively.

The Comfort Project acknowledges that you are pursuing Medical Aid in Dying of your own free will. Our team members are not responsible for your decision and will not attempt to influence your decision or actions related to Medical Aid in Dying. You retain the right to change your mind at any time.

What We Offer

The Comfort Project provides comprehensive, non-medical support for individuals pursuing Medical Aid in Dying in Vermont. We guide you through the process, from initial planning through the day the medication is taken.

• We help clarify information about Medical Aid in Dying eligibility requirements and the steps needed to complete the process.

• We help you coordinate with your medical team in Vermont, including physicians, hospice providers, and pharmacists, all of whom are separate and independent from The Comfort Project.

• With your permission, a member of our team may participate in your physician appointments to provide support, help ensure clear communication, and assist you in understanding next steps.

• We assist in identifying appropriate local lodging during your visits to Vermont for medical appointments, including an appropriate location for taking the medication.

• We provide information to help you coordinate after-death care arrangements.

• We provide an authorized courier to pick up the medication from the pharmacist and deliver it to the location where you will take it.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a strategy for the date you plan to take the medication.

• We keep the medical team informed of logistical plans related to your pursuit of Medical Aid in Dying.

• On the day you plan to take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication.

• After death, we coordinate the official pronouncement of death and notify the appropriate professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the medication-taking and immediate after-death process is complete.

• We provide information about free grief support resources.

What We Need From You

A peaceful and smooth Medical Aid in Dying experience depends on thoughtful preparation and collaboration. By purchasing our services, you acknowledge that you are responsible for completing the necessary tasks described below.

• Retain medical decision-making authority unless you have formally designated another individual through appropriate legal documentation. Decisions related specifically to Medical Aid in Dying must be made and expressed directly by you, in accordance with applicable legal requirements.

• Provide complete contact information, including name, phone number, email address, and physical address, for yourself and a responsible adult caregiver who is able and willing to assist with your daily non-medical needs and remain with you throughout your stay in Vermont.

• Provide us with the schedule of your Medical Aid in Dying medical appointments and inform us promptly of any changes to appointment dates or times.

• Provide the information and documentation we need to coordinate your support. This includes:

  1. Your valid photo ID (a copy is sufficient);

  2. Your DNR, POLST, or MOLST (a copy is sufficient);

  3. Your signed and witnessed Request for Medication Form (a copy is sufficient);

  4. Documentation from your prescribing physician confirming your intent to pursue Medical Aid in Dying. (Please request this documentation directly from your physician.)

  5. A completed Authorization for Medication Pick-Up and Delivery (electronically signed and dated)

  6. The Medical Aid in Dying medication prescription (this will be available once your medication is delivered to you on the date you plan to take it).

• Keep us informed of the date you wish to take the medication and notify us of any changes as soon as possible. We request at least two weeks' notice so that we can help coordinate the necessary arrangements. Scheduling depends upon the availability of multiple people and services and is not entirely within The Comfort Project's control.

• Communicate any changes in your condition or circumstances that may affect your Medical Aid in Dying plans.

• Follow the standard Vermont Medication Instructions provided to you regarding the protocol for the day you take the medication.

What We Do Not Offer

The Comfort Project does not assume custodial, medical, guardianship, housing, or long-term care responsibility for you during or beyond the terms of this agreement.

The Comfort Project does not provide medical advice or treatment, determine medical eligibility, or prescribe medication. All medical care, medical advice, eligibility determinations, prescribing, and clinical services remain the responsibility of the licensed medical professionals involved in your care.

Authorization for Disclosure and Receipt of Information

By purchasing our services, you authorize The Comfort Project to request, receive, maintain, and share information and documentation as reasonably necessary to coordinate your support.

You authorize The Comfort Project and members of its non-medical support team who are directly involved in supporting you to exchange information on your behalf with:

• The physicians you work with in pursuing Medical Aid in Dying in Vermont;

• The hospice supporting you during your stay in Vermont, if applicable;

• The designated compounding pharmacist in Vermont; and

• The medical professional or organization responsible for the official pronouncement of death.

This authorization is limited to information and documentation reasonably necessary for The Comfort Project to provide logistical and non-medical support related to your pursuit of Medical Aid in Dying in Vermont.

Right to Revoke Authorization

You may revoke this authorization at any time by providing written notice to The Comfort Project. Revocation terminates this agreement, but does not affect information already received, shared, or relied upon before the revocation became effective.

Services Offered and Payment Structure

The sections below describe the specific services we provide. Equally important are the less tangible ways we offer emotional guidance and support to the people involved in this extraordinary choice. This process can have a profound effect on everyone involved, and the comfort and presence we provide are an important part of our work together.

Initial Planning Phase: First Payment

50% of total fee

Payment Requirements

The first payment is due when you purchase our services. This agreement becomes effective when the initial payment has been received.

Services Included with First Payment

You, your family, friends, and caregivers will be given access to the Client Portal, a comprehensive collection of resources we have developed to help you navigate the process.

Services include:

• Ongoing communication throughout the process to assist with planning;

• Coordination with your physicians, hospice providers (if applicable), and pharmacists in Vermont;

• Meetings with you and your support team by phone or Zoom to develop a plan based on your needs, your timeframe, and the availability of service providers in Vermont;

• Assistance coordinating travel and accommodations; and

• Availability for questions as they arise while you complete the required medical appointments.

Duration of the Initial Planning Phase

This phase includes the period during which you are pursuing eligibility for Medical Aid in Dying and completing the required physician appointments. During this phase, services are provided while you continue to reside in your home state and travel to Vermont for medical appointments, with the intention of returning home after each visit.

If you plan to remain in Vermont while completing your medical appointments rather than returning home between visits, the second payment for the Final Coordination Phase is due before you arrive in Vermont. In this situation, the twenty-one (21) day Final Coordination Phase begins on the date of your arrival in Vermont.

Initial Planning Phase services are available for up to twelve (12) months from the date this agreement begins. If you wish to continue receiving services after the agreement expires, a new agreement and applicable payment will be required.

Final Coordination Phase: Second Payment

50% of total fee

Payment Requirements

The second payment is due once the date you plan to take the medication has been coordinated and confirmed with The Comfort Project, and prior to traveling to Vermont for that date. 

Services Included with Second Payment

• We keep the medical team informed of logistical plans related to taking the medication.

• Together, we identify an appropriate location where you can take the medication.

• We assist with coordination of after-death care arrangements.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a plan for the day you'll take the medication.

• Our authorized courier picks up the medication from the pharmacist in Vermont and delivers it to the location where you'll take it.

• On the day you take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication according to the instructions provided.

• After death, we coordinate the official pronouncement of death and notify the appropriate hospice, funeral provider, and other professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the after-death process is complete.

• We provide information about grief support resources.

Duration of the Final Coordination Phase

This phase begins when you arrive in Vermont for the purpose of remaining in Vermont to complete the Medical Aid in Dying process, as coordinated with The Comfort Project. It continues for twenty-one (21) consecutive calendar days, beginning on the date of your arrival.

The Comfort Project provides non-medical logistical coordination and support only. At no time does The Comfort Project provide medical care, custodial care, housing, or daily caregiving services. Arranging for these services, when needed, is the responsibility of you and your designated caregivers, in coordination with the licensed medical professionals involved in your care.

If you remain in Vermont beyond the twenty-one (21) day Final Coordination Phase, The Comfort Project's coordination services conclude unless additional services are requested and agreed to in writing.

Additional coordination or logistical support requested beyond the twenty-one (21) day period may be provided at a rate of $500 per day, subject to availability and written agreement.

Term and Termination of Agreement

This agreement becomes effective when the initial payment has been received.

The agreement will terminate upon the earliest of the following:

• Completion of The Comfort Project's services following death;

• Expiration of the twelve (12) month Initial Planning Phase;

• Expiration of the twenty-one (21) day Final Coordination Phase;

• Your decision not to continue pursuing Medical Aid in Dying;

• Your natural death before a planned Medical Aid in Dying death;

• A determination by the appropriate medical professionals that you are not, or are no longer, eligible for Medical Aid in Dying;

• Termination by The Comfort Project due to non-payment, lack of a designated responsible caregiver, or circumstances outside the scope of this agreement;

• Termination by either party as otherwise permitted under this agreement.

Upon termination of this agreement by either party, The Comfort Project's obligations will cease except for reasonable administrative wrap-up and limited coordination of matters already underway, when appropriate.

Reimbursement

The Comfort Project's fee reflects the significant administrative coordination, professional time, and logistical preparation required to support each client's Medical Aid in Dying process. Much of this work occurs before your arrival in Vermont. For this reason, fees are generally non-refundable once coordination has begun.

Our intention is to act with fairness, clarity, and integrity, both toward the families we serve and toward the long-term viability of this work. If circumstances arise that prevent you from completing the Medical Aid in Dying process, The Comfort Project may review your individual circumstances and consider whether reimbursement is appropriate.

Refund decisions are made at the sole discretion of The Comfort Project and will take into account the extent of services already provided and expenses or commitments already incurred on your behalf.

Waiver of Liability

You, your heirs, successors, and assigns agree to waive any and all rights, claims, or causes of action that you may have against The Comfort Project and its team members arising from or related to the services provided under this agreement, to the fullest extent permitted by applicable law, except in cases of gross negligence or willful misconduct.

Acknowledgements

By purchasing our services, you acknowledge that:

• You are voluntarily pursuing Medical Aid in Dying and retain the right to change your mind at any time.

• The Comfort Project provides non-medical logistical coordination and support and does not determine your eligibility for Medical Aid in Dying or provide medical care.

• You understand your responsibilities under this agreement, including the need for a responsible caregiver during your stay in Vermont.

• You understand the services included in each phase, the applicable time limits, and the payment and reimbursement provisions described above.

• You authorize the limited exchange of information described in this agreement unless and until you revoke that authorization in writing.

• You have read and understand the Waiver of Liability above.

• You have had the opportunity to ask questions about this agreement.

You are entering into this agreement voluntarily and with an understanding of its contents.

Tier 1 — Paying it Forward: If you have financial flexibility.

Payment Requirements

The second payment is due once the date you plan to take the medication has been coordinated and confirmed with The Comfort Project, and prior to traveling to Vermont for that date. 

Services Included with Second Payment

• We keep the medical team informed of logistical plans related to taking the medication.

• Together, we identify an appropriate location where you can take the medication.

• We assist with coordination of after-death care arrangements.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a plan for the day you'll take the medication.

• Our authorized courier picks up the medication from the pharmacist in Vermont and delivers it to the location where you'll take it.

• On the day you take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication according to the instructions provided.

• After death, we coordinate the official pronouncement of death and notify the appropriate hospice, funeral provider, and other professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the after-death process is complete.

• We provide information about grief support resources.

Tier 2 — Full Cost: If you can afford the true cost of our services.

Payment Requirements

The second payment is due once the date you plan to take the medication has been coordinated and confirmed with The Comfort Project, and prior to traveling to Vermont for that date. 

Services Included with Second Payment

• We keep the medical team informed of logistical plans related to taking the medication.

• Together, we identify an appropriate location where you can take the medication.

• We assist with coordination of after-death care arrangements.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a plan for the day you'll take the medication.

• Our authorized courier picks up the medication from the pharmacist in Vermont and delivers it to the location where you'll take it.

• On the day you take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication according to the instructions provided.

• After death, we coordinate the official pronouncement of death and notify the appropriate hospice, funeral provider, and other professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the after-death process is complete.

• We provide information about grief support resources.

Tier 3 — Shared Cost: If paying the full cost would create financial strain.

Payment Requirements

The second payment is due once the date you plan to take the medication has been coordinated and confirmed with The Comfort Project, and prior to traveling to Vermont for that date. 

Services Included with Second Payment

• We keep the medical team informed of logistical plans related to taking the medication.

• Together, we identify an appropriate location where you can take the medication.

• We assist with coordination of after-death care arrangements.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a plan for the day you'll take the medication.

• Our authorized courier picks up the medication from the pharmacist in Vermont and delivers it to the location where you'll take it.

• On the day you take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication according to the instructions provided.

• After death, we coordinate the official pronouncement of death and notify the appropriate hospice, funeral provider, and other professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the after-death process is complete.

• We provide information about grief support resources.

Tier 4 —  Supported Cost: If significant financial constraints make the full cost prohibitive.

Payment Requirements

The second payment is due once the date you plan to take the medication has been coordinated and confirmed with The Comfort Project, and prior to traveling to Vermont for that date. 

Services Included with Second Payment

• We keep the medical team informed of logistical plans related to taking the medication.

• Together, we identify an appropriate location where you can take the medication.

• We assist with coordination of after-death care arrangements.

• We meet with you and your family, friends, and caregivers to review the standard Vermont Medication Instructions and create a plan for the day you'll take the medication.

• Our authorized courier picks up the medication from the pharmacist in Vermont and delivers it to the location where you'll take it.

• On the day you take the medication, two members of our team are present to provide practical and emotional support for everyone present.

• With your authorization, and in accordance with Vermont guidance, we may assist with preparation of the medication according to the instructions provided.

• After death, we coordinate the official pronouncement of death and notify the appropriate hospice, funeral provider, and other professionals so that the death certificate and after-death arrangements can proceed.

• We remain present with your family, friends, and caregivers until the after-death process is complete.

• We provide information about grief support resources.