Oregon Death with Dignity Act Attending Physician Follow 2025

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  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.

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In 2023, the state removed a residency requirement, enabling people from other states to travel to Oregon to die. Patients must make two oral requests to their physician for the medication, each separated by at least 15 days.
To requesta prescription for lethal medications, the DWDA requires that a patient must be: an adult (18 years of age or older), a resident of Oregon, capable (defined as able to make and communicate health care decisions), and diagnosed with a terminal illness that will lead to death within six months.
Be 18 years or older and a resident of California. Have a terminal disease that cannot be cured or reversed and is expected to result in death within six months. Have the capacity to make medical decisions and not have impaired judgment due to a mental disorder.
The Death with Dignity Act was legislation first enacted in Oregon. This law allows terminally ill patients to request and self-administer medication to end their lives in a dignified and compassionate way.
In 1997, Oregon enacted the Death With Dignity Act, allowing terminally ill individuals to end their lives through the voluntary self-administration of a lethal dose of medication, expressly prescribed by a physician for that purpose.
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There are only two states which do not require the patient to be a resident, Oregon and Vermont. Shown below are the jurisdictions where MAiD is available for a qualified terminally ill person.

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