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Case ID: ___ ___ For ODE use only. Attending ID: ___ ___ ___ ___ ___ DID Illness Oregon Death with Dignity Act Attending Physician Followup Form Dear Physician: The Death with Dignity Act requires
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Obtain the required forms from the Oregon Health Authority website or from a healthcare provider.
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Oregon Death with Dignity Act is a law that allows terminally ill adult Oregon residents to obtain a prescription for self-administered, lethal medications.
Patients who are terminally ill and meet the requirements laid out in the Oregon Death with Dignity Act are required to file for this option.
To fill out Oregon Death with Dignity forms, patients must consult with their physicians, submit written requests, and follow specific procedures outlined in the law.
The purpose of Oregon Death with Dignity Act is to provide terminally ill patients with the option to end their life in a humane and dignified manner.
Patients must report their medical condition, prognosis, and request for a prescription for lethal medications as part of the Oregon Death with Dignity process.
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