Oregon directive form 2025

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  1. Click ‘Get Form’ to open the Oregon Directive form in our editor.
  2. Begin by filling out the 'ABOUT ME' section. Enter your name, telephone numbers (home, work, cell), date of birth, address, and email.
  3. In the 'MY HEALTH CARE REPRESENTATIVE' section, designate a primary health care representative by providing their name, contact information, and relationship to you. Also list alternate representatives if needed.
  4. Proceed to 'INSTRUCTIONS TO MY HEALTH CARE REPRESENTATIVE.' Here, initial one of the three statements that best reflects your wishes regarding how strictly your representative should follow your instructions.
  5. Fill out 'DIRECTIONS REGARDING MY END OF LIFE CARE.' Carefully read each scenario and initial your preferences for tube feeding and life support under various conditions.
  6. Sign and date the form in the 'MY SIGNATURE' section. Ensure it is witnessed or notarized as required.
  7. Finally, have your health care representative accept their appointment by signing in the designated area.

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You must sign the advance directive and have it docHubd or witnessed by two qualified witnesses. To be qualified a witness must be an adult who is not your attending physician, your attending health care provider, your health care representative or your alternate health care representative.
A digital advance directive is one that exists entirely online. It is filled out, docHubd if necessary, and stored online. A paper version may or may not exist. Digital advance directives are convenient as they may be downloaded anywhere the internet can be accessed.
Under Oregon law, if an individual does not have an Advance Directive, then the following individuals have priority for health care decision-making: legal guardian, spouse, majority of adult children, and then close friends. Those individuals may be who you would choose as your Health Care Representative.
Ensure that your DNR order includes all necessary details such as your full name, date of birth, and clear directives regarding resuscitation. It must be signed and dated by both you (or your legal representative) and your physician, and it may require notarization or witnesses as per state law.
Do I need an attorney to complete my directive? Although an advance healthcare directive is a legal document, you do not need an attorney to complete one. To make your directive legal, it needs to be to be signed by two witnesses or docHubd by a licensed Notary Public.

People also ask

You may be able to get Advance Directive and Healthcare Representative Appointment forms from your healthcare provider. You can use the Advance Directive forms below, which are copied from the Senate Bill 199 (2021). You do not have to use these specific forms, but any form you use must be substantially the same.
As a patient at Oregon State Hospital, you have a legal right to complete an advance directive if you have capacity. Having capacity means that a court, your physician, or your psychiatric mental health nurse practitioner (PMHNP) has determined you can make and communicate health care decisions to medical providers.

oregon advance directive pdf