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For OHA use only: Case ID: Oregon Death with Dignity Act Attending Physician Followup Form Dear Physician: The Death with Dignity Act requires physicians who write a prescription for a lethal dose

How to fill out oregon death with dignity

How to fill out oregon death with dignity

1. To fill out the Oregon Death with Dignity Act form, follow these steps:
2. Make sure you are eligible: Only individuals who are 18 years or older, mentally competent, and diagnosed with a terminal illness with a prognosis of six months or less to live are eligible.
3. Discuss your decision with your healthcare provider: Talk to your doctor about your decision to pursue the Death with Dignity Act, and ensure they are willing to participate.
4. Request the necessary forms: Ask your healthcare provider to provide you with the required forms for the Death with Dignity Act.
5. Complete the Attending Physician's Compliance Statement: This form must be filled out by your attending physician, confirming your eligibility and diagnosis.
6. Complete the Request for Medication: Fill out this form to officially request medication for aid in dying.
7. Two witnesses are required: Find two witnesses who are at least 18 years old, not related to you by blood, marriage, or adoption, and not entitled to any portion of your estate. They will need to witness your signing of the forms.
8. Submit the forms: Return the completed forms to your healthcare provider, who will then guide you through the remaining steps.
9. Wait for the mandatory waiting period: Oregon law requires a 15-day waiting period between the date the attending physician receives the request and the writing of the prescription.
10. Obtain the medication: Once the waiting period is over, your healthcare provider can write the prescription for the medication. You can then collect the medication from a pharmacy of your choice.
11. Self-administer the medication: Follow the instructions provided with the medication to self-administer it when you are ready.
12. It is important to consult the official Oregon Death with Dignity Act website or seek legal advice for comprehensive and accurate guidance.

Who needs oregon death with dignity?

1. Individuals who have been diagnosed with a terminal illness and have a prognosis of six months or less to live may consider the Oregon Death with Dignity Act.
2. The decision to pursue this option is deeply personal and should be made by the individual in consultation with their healthcare provider, family, and loved ones.
3. It is important to note that eligibility criteria and laws regarding death with dignity may vary in different jurisdictions, so it is necessary to research and understand the specific regulations in your area.
4. Seeking professional advice from healthcare providers and legal experts can help individuals determine if the Oregon Death with Dignity Act or a similar law is applicable and appropriate for their circumstances.

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What is oregon death with dignity?

Oregon Death with Dignity Act is a statute that allows terminally ill Oregon residents to end their lives through the voluntary self-administration of lethal medications, prescribed by a physician for that purpose.

Who is required to file oregon death with dignity?

Only terminally ill Oregon residents who meet the requirements outlined in the Oregon Death with Dignity Act are eligible to file for aid in dying.

How to fill out oregon death with dignity?

To fill out the Oregon Death with Dignity form, the terminally ill individual must meet with their attending physician and a consulting physician to request the medication, and submit a written request form signed by witnesses.

What is the purpose of oregon death with dignity?

The purpose of the Oregon Death with Dignity Act is to give terminally ill individuals the option to end their lives in a humane and dignified manner, if they so choose.

What information must be reported on oregon death with dignity?

The information required on the Oregon Death with Dignity form includes details about the patient's terminal illness, mental capacity, and voluntary decision to end their life.