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Click ‘Get Form’ to open it in the editor.
Begin by filling in your name at the top of the form, ensuring you are an adult of sound mind. This establishes your identity as the declarant.
In the 'Choice of Decision Maker' section, select one option by initialing next to your preferred decision-maker. This could be your appointed representative or a mental health treatment provider.
If appointing a representative, provide their name, address, and telephone number in the designated fields. You may also include an alternate representative if desired.
Clearly outline your wishes regarding mental health treatments in the 'Directions for Mental Health Treatment' section. Specify any treatments you consent to and those you do not consent to.
Complete any additional information about your mental health treatment needs that may be relevant for your representative.
Finally, sign and date the declaration at the bottom. Ensure two witnesses sign as well to validate this important document.

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What is a power of attorney for mental health in Oregon?

In the Declaration for Mental Health Treatment, you make choices about the kinds of care you want and do not want. It can be used to name an adult to make decisions about your care. The person you name must agree to speak for you and to follow your wishes.

What is the statute for power of attorney for health care in Oregon?

The power of attorney for health care is effective when it is signed, witnessed and accepted as required by ORS 127.505 to 127.660 and 127.995. The attorney-in-fact so appointed shall make health care decisions on behalf of the principal if the principal becomes incapable.

Is there a power of attorney for mental health?

Similar to a medical advance directive or a health care power of attorney, a psychiatric advance directive is a legal document completed in a time of wellness that provides instructions regarding treatment or services one wishes to have or not have during a mental health crisis, and may help influence his or her care.

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Statutory Power of Attorney for Mental Health Care - Oregon 2026