(i)__To the attending physician;

(ii)__Before 2 witnesses qualified to witness a written request; and

(iii)__That is recorded verbatim and transcribed into written form and entered in the patient's medical record.

§5-904.__Attending physician's responsibilities

The attending physician shall:

(a)__Make the initial determination of whether a patient has a terminal disease, is capable and has voluntarily requested medication under section 5-903;

(b)__Inform the patient of:

(1)__The patient's medical diagnosis;

(2)__The patient's prognosis;

(3)__The potential risks associated with taking the medication prescribed;

(4)__The probable result of taking the medication prescribed; and

(5)__The feasible alternatives, including, but not limited to, comfort care, hospice care and pain control;

(c)__Refer the patient to a consulting physician for medical confirmation of the diagnosis and for a determination that the patient is capable and acting voluntarily;

(d)__Refer the patient to a palliative care specialist pursuant to section 5-906;

(e)__Refer the patient for counseling pursuant to section 5- 907;

(f)__Request that the patient notify the next of kin.__If requested by the patient, the physician shall provide assistance