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Help us get everyone in our community pre-registered for a vaccination appointment.
Go to or call 1-855-363-0333 to pre-register and then help us spread the word. #DCHOPE
Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: April 19

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Death with Dignity Forms

Death with Dignity Forms 

Patient Forms

Attending Physician Instructional Forms

The below forms are for instructional purposes only.  Physicians will need to enter the required information in the online module.

Pharmacy/Pharmacist Forms