Oregon Death with Dignity Act Attending Physician Follow 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's name and case ID at the top of the form. This information is crucial for identification purposes.
3. Indicate whether the patient died from ingesting the lethal dose of medication, their underlying illness, or another cause. Depending on your selection, follow the instructions provided for signing.
4. Complete Part A if you were present at the time of death. Answer questions regarding the circumstances surrounding ingestion and death, including dates and locations.
5. If you were not present, ensure that a licensed health care provider or volunteer completes Part A while you complete Part B.
6. In Part B, provide details about your care for the patient, including dates and any concerns that may have influenced their decision to request lethal medication.
7. Finally, review all entries for accuracy before signing and submitting the form as instructed.

Start using our platform today to streamline your document editing and completion process for free!