Oregon Advance Directive Form (Medical POA & Living Will)

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The Oregon Advance Directive is a written aid to confirm one’s choices concerning medical treatment in the event they can no longer communicate their desires. The document also allocates a nominated individual as attorney-in-fact to select the course of action to take regarding presented medical therapies. The standard arrangement is designed to initiate a plan before health issues may impede the principal’s ability to make their own decisions. Once created, it will assist physicians in indicating how medical situations are to be handled in particular situations, even in cases where the declarant is incapacitated. The completed form requires either a licensed notary public or two (2) witnessing persons supervise signing the paperwork to authorize its confirmation officially.

Other Versions (9)

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

 

 


Kaiser Permanente Version

Download: Adobe PDF

 

 

 


Oregon Health and Science University Version

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Instructions: Adobe PDF

 

 


Prepare for Your Care Version (also available in Spanish/en Español)

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Providence Health and Services Version

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Providence St. Joseph Health Version (also available in Spanish/en Español)

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Spanish Version

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Additional Resources

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Advance Directive Wallet Card

Download: Adobe PDF

 

 


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Download: Adobe PDF, MS Word (.docx)

 

 

 


Declaration of Mental Health Treatment

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Instructions: Adobe PDF

 

 


Physicians Orders for Life-Sustaining Treatment (POLST)

Download: Adobe PDF
Instructions: Adobe PDF