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This document contains the following sections:
- Part I: Medical Power of Attorney
- Part II: Living Will
Laws
Definition – “Health care decision” means consent, refusal of consent, or withholding or withdrawal of consent to health care, and includes decisions relating to admission to or discharge from a health care facility (§ 127.505(10)).
Signing Requirements – Legal finalization of the document stipulates that a notary or two (2) viable witnesses be present to oversee the recording of all endorsements (§ 127.515(2)).
Revocation – § 127.772
Other Versions (9)
- AARP (Caring Connections)
- Conclusions Oregon Pro-Life
- Five Wishes (Aging with Dignity)
- Kaiser Permanente
- Oregon Health and Science University
- Prepare for Your Care
- Providence Health and Services
- Providence St. Joseph Health
- Spanish Version
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Conclusions Oregon Pro-Life Version
Download: Adobe PDF
Instructions: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Oregon Health and Science University Version
Download: Adobe PDF
Instructions: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Providence Health and Services Version
Download: Adobe PDF
Providence St. Joseph Health Version (also available in Spanish/en Español)
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- The Elder Law Firm – Advance Directives for Health Care
- Legacy Health – Advance Directives and POLST
- Oregon Department of Human Services – Your Right to Make Health Care Decisions in Oregon
- Oregon Health Decisions – Key Conversations Planning Guide
- Oregon POLST – The Difference Between POLST and Advance Directives
- Oregon State Bar – Advance Directives (Living Wills)
- Peace Health – Advance Care Planning FAQs
- Providence St. Joseph Health – Advance Directive Toolkit
Related Forms (4)
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- Declaration of Mental Health Treatment
- POLST Form
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Declaration of Mental Health Treatment
Download: Adobe PDF
Instructions: Adobe PDF
Physicians Orders for Life-Sustaining Treatment (POLST)
Download: Adobe PDF
Instructions: Adobe PDF
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