4. The Euthanasia Program was initiated in the summer of 1939. Hitler issued a secret order to Professor Dr. Karl Brandt, Reich Commissioner for Medical and Health Matters, and at that time personal physician to the Fuehrer, and to Philipp Bouhler, charging them with responsibility for the killing of human beings who were unable to live, that is, the according of a mercy death to incurably insane persons. Prior to the issuance of this secret order, Bouhler had a conference with Dr. Brandt and Dr. Leonardo Conti, the Reich Chief for Public Health and State Secretary in the Ministry of Interior. On the basis of this order of Hitler, Bouhler and Brandt were to select doctors to carry out this program. Inasmuch as the insane asylums and other institutions were functions of the Ministry of Interior, Dr. Herbert Linden became the representative of the Ministry of Interior. Dr. Karl Brandt and Philipp Bouhler appointed Professor Dr. Heyde and Professor Dr. Nietsche along with several other medical men to aid in the execution of this Euthanasia Program.

5. Professor Dr. Karl Brandt was in charge of the medical section of the Euthanasia Program. In this capacity, as shown in the chart I have drawn, dated 12 September 1946, Dr. Karl Brandt appointed as his deputies Professor Heyde and Professor Nietsche. In charge of the administrative office under Brandt was first Herr Bohne and later Herr Allers. Three different names were used by Brandt’s section in order to disguise the activities of the organization. The names of the organization are as follows:

Reich Association—Mental Institutions.

Charitable Foundation for Institutional Care.

General Patient Transport Company.

6. In the early stages of this program, Dr. Karl Brandt visited Philipp Bouhler and discussed with him many details of this program. As a matter of fact, after such meetings between Brandt and Bouhler, I received many orders, more often from Bouhler than from Brandt directly.

7. In my capacity as Chief of Office II of Bouhler’s Chancellery, I was ordered to carry out the administrative details of the Euthanasia Program. My deputy was Werner Blankenburg, who eventually became my successor, that is, in the beginning of 1942 when I joined the Waffen SS. Von Hegener, Reinh, Vorberg, and Dr. Hevelmann were members of my staff.

8. In the Ministry of the Interior, Dr. Linden was in charge of the Euthanasia Program and his deputy was Ministerialrat Franke. The Department for Public Health in the Ministry of the Interior had authority over all insane asylums of the Reich, and in this position, my department as well as the office of Dr. Brandt maintained close liaison in order to operate this Euthanasia Program efficiently.

The Procedure

9. By order of Dr. Linden, the directors of all insane asylums in the Reich had to complete questionnaires for each patient in their institutions. These questionnaires were drafted by Bouhler, Heyde, Nietsche, and others in several of their many conferences. The questionnaires were then forwarded to the Ministry of the Interior to be distributed to the various insane asylums and similar institutions. Theoretically, Dr. Linden’s office had the questionnaires returned and then forwarded them to the administrative section of the office of Dr. Brandt. The program was so arranged that photostats of each questionnaire were to be sent to four experts consisting of about 10 to 15 doctors. I do not remember the names of all the members of this panel, but Dr. Pfannmueller, Dr. Schumann, Dr. Faltlhauser, and Dr. Rennaux are fresh in my memory in this connection. Each of these experts indicated by making a certain comment on the questionnaire whether or not the patient could be transferred to an observation institution and eventually killed. The questionnaire was then forwarded to a senior expert. According to the regulation, the senior expert was only entitled to order the transfer of the patient when all four experts voted for the transfer. This senior expert also marked the questionnaire and then submitted it to Dr. Linden who ordered the insane asylum to transfer the patient to one of the observation institutions. Offhand I can remember, among others, the names of the following observation institutions: Eglfing-Haar, Kempten, Jena, Buch, Arnsberg.