ADVANCE DIRECTIVE YOU DO NOT HAVE TO FILL OUT AND SIGN THIS FORM PART A IMPORTANT INFORMATION ABOUT THIS ADVANCE DIRECTIVE This is an important legal document. I understand I must act consistently with the desires of the person I represent as expressed in this advance directive or otherwise made known to me. You can do this by using PART C of this form. Facts About Completing This Form This form is valid only if you sign it voluntarily and when you are of sound mind. If you do not want an...
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Who needs an Advance Directive?

This form is used by patients to appoint their health care representative. The health care representative will make the decisions concerning the health of the patient. So, this form is signed by the patient and their representative. It is designed for Oregon.

What is the Advance Directive for?

Oregon directive form is a written statement of a patient’s wishes regarding medical treatment. The patient appoints a health care representative who will make decisions in case the patient can’t do it. The patient must be of sound mind when signing the directive. She uses this form to give instructions to the representative. The representative must follow all the directions of the patient as stated in the document.

What documents must be accompanied by the Advance Directive?

The patient can attach additional sheets to the directive to express her will and a health care power of attorney.

Does the Advance Directive have a validity period?

Unless the patient has limited the duration of the document, it doesn’t have a validity period. The patient can revoke the form any moment.

What information should be provided in the Advance Directive?

While filling out the directive, the filler has to provide the following information:

  • Personal name, birthday, address
  • Term of the directive’s validity
  • Name of the health care representative (and alternate representative), her phone number, address
  • Type the special conditions and instructions (limits, life support, tube feeding) in a condition close to death, permanently unconscious, advanced progressive illness, extraordinary suffering
  • The patient must date and sign the directive.

Part D of the form is signed by the witnesses.

Part C is the appointment acceptance by a health care representative. The representative must sign the form and print her name.

What do I do with the Advance Directive after its completion?

The signed Directive is forwarded to the patient’s lawyer or to the family for keeping.


Video instructions and help with filling out and completing oregon advance directive
Instructions and Help about mental health care directive form

This is Daryl Tuttle and this is another living carrot learning tutorial on advanced directive sometimes called a living will and a living will is is a paper it's a document but it's an important document because it allows you to document your final wishes concerning medical treatment at the end of your life and candidly what's more important than that you would think that the process of dying would not require paperwork and I personally wish that it didn't but we live in a complicated era in the medical profession has requirements rightly so and so I want you to imagine if you're going through this now you don't need to imagine it but if you're healthy just kind of close your eyes and think about some of the worst-case scenarios one would be the famous I hate using this expression but I'm just gonna put it out there just because that's what my clients say to me and that is vegetative state and so a person who's suffered a brain injury or you know it's like a million reasons you could be in a quote-unquote vegetative state but that's what people fear but it also could be uh you or a loved one suffering from a terminal illness that there is no realistic hope of surviving and cancer comes to mind and the illness is so bad that you you're you are too ill to feel better or even well and then also imagine you know most folks who are going through that process may not even necessarily be aware of it they they've reached a point where they're either permanently unconscious in a hospital bed somewhere skilled nursing community or imagine also just a person who's heavily medicated pain medication so so you're not suffering yeah however it's stressful for the family the family members and loved ones who watch it sometimes there's dispute and unneeded an unnecessary stress about how to handle those last weeks or months or days because it wasn't written down and so one of the teaching points of this tutorial is use the living will the advance directive the document that we're talking about to also communicate with your family about what your desires are in those the final time and so so this is a provision from a living well we remember a living well is a directive to a physician ordering ordering them how to how to treat your final days and the the number one thing people utmost importance is if you are diagnosed to be in a terminal condition or in a permanent unconscious state which of those do you want do you want to be kept artificially alive as long as the machines work or do you not want to be kept alive and choosing the right selection can have a big impact on you and your family I can tell you that if you can see my cursor here 99.9% of my clients do not want to be kept artificially alive indefinitely are they you know Mike Mike these are my clients words maybe maybe you would view it differently but they they they kind of laugh and they call it the pull the plug paragraph do you want the plug pulled or not so a little unsophisticated but it gets...