Interested in Medical Aid In Dying?

Please read about what the law says about it as well as the requirements.

Fill out and submit our Initial Contact form below and one of our staff members will contact you directly within 2 business days.

  Rocky Mountain End-of-Life Options
Glenda C. Weeman, DO
Patient Name
Birthdate ex: 5/20/1959
Home Street Address
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Phone Cell    Home     Work
Terminal Illness (Please be as specific as possible)
If you are filling this form out for the patient, please tell us your contact information Your Name   Relationship 
Phone Email
How did you find out about Dr. Weeman?