Competing interests:: Tim Holland is chair of the Advance Requests Working Group for the Canadian Association of MAiD Assessors and Providers. He is a member of the Committee on Ethics for the Canadian Medical Association and of the National MAiD Curriculum Steering Committee. He was a witness for the Standing Senate Committee for Bill C-7. Mathieu Moreau is a member of the Bureau de l’éthique clinique, Faculté de médecine, Université de Montréal. He acted as a medical expert for the Quebec government’s Committee on Citizen Relations, which studied the bill that led to the introduction of advance requests for medical assistance in dying (MAiD). Both authors are members of the College of Family Physicians of Canada Ethics Committee, which Tim Holland chairs. Mathieu Moreau is co-researcher, member of the steering committee, and member of the scientific committee for the Mieux comprendre le recours à l’aide médicale à mourir en contexte québécois; Actions concertées, Fonds de recherche du Québec (2024 to 2027). Dr. Moreau is co-researcher on research pertaining to MAiD funded by Blanchard Family Chair for Teaching and Research in Palliative Care, Centre intégré de santé et de services sociaux de Laval, and Chamber of Notaries of Quebec.