A Living Will is a legal document that allows individuals in Oregon to express their wishes regarding medical treatment in the event they become unable to communicate their preferences. This important form provides clarity for healthcare providers and loved ones during critical moments. Understanding its purpose and how to complete it can ensure that your values and desires are honored when it matters most.
In Oregon, the Living Will form plays a crucial role in ensuring that individuals can express their healthcare preferences in the event they become unable to communicate their wishes. This legal document allows people to outline their desires regarding medical treatment, particularly at the end of life. By completing a Living Will, individuals can specify whether they wish to receive life-sustaining treatments, such as resuscitation or artificial nutrition, or if they would prefer to forgo these measures in favor of comfort care. The form also emphasizes the importance of appointing a healthcare representative, someone trusted to make decisions on behalf of the individual if they are incapacitated. This combination of personal directives and designated authority helps to alleviate the burden on family members during difficult times, ensuring that healthcare providers respect the individual's choices. Understanding the nuances of the Oregon Living Will is essential for anyone looking to safeguard their medical preferences and promote clarity in critical healthcare situations.
Oregon Living Will Template
This Oregon Living Will is established in accordance with the Oregon Advance Directive Act. It serves as a declaration of a person's desires regarding their medical treatment in circumstances where they are unable to communicate their decisions.
Personal Information
Full Name: ___________________________________________________________
Date of Birth: ________________________________________________________
Address: ______________________________________________________________
City: ___________________________ State: OR Zip: ______________________
Telephone Number: _____________________________________________________
Health Care Representative
I hereby appoint the following individual as my health care representative to make medical decisions on my behalf should I become unable to make such decisions:
Name: _________________________________________________________________
Relationship: __________________________________________________________
Primary Phone: _________________________________________________________
Alternative Phone: _____________________________________________________
If my primary health care representative is unavailable, unwilling, or unable to serve, I hereby appoint the following individual as my alternate health care representative:
Health Care Instructions
This section outlines specific instructions regarding my health care. In the event that I am unable to communicate my health care wishes, the following shall serve as guidance to my health care representative and health care providers.
___ I wish to receive all forms of life-sustaining treatment, including resuscitation, if my heart stops beating or I stop breathing.
___ I wish to receive life-sustaining treatment only if my condition is curable or reversible, and I do not want treatments that only prolong the dying process if I am terminally ill or permanently unconscious.
___ I do not wish to receive any form of life-sustaining treatment, including resuscitation if my heart stops beating or I stop breathing, and prefer natural death.
___ I wish to receive medically provided nutrition (feeding tube) and hydration (IV fluids) regardless of my condition.
___ I do not want to receive medically provided nutrition or hydration if the burdens outweigh the expected benefits.
Signature and Witnesses
My signature below indicates that I understand the contents of this Oregon Living Will and that I am mentally competent to make this declaration. This document shall remain effective until I revoke it.
Signature: _______________________________________ Date: _________________
Witness Declaration
This document was signed in my presence. The declarant appears to be of sound mind and not under duress, fraud, or undue influence.
Name: ________________________________________________________________
Signature: ____________________________________ Date: _________________
Additional Notes
This Living Will does not substitute for a Durable Power of Attorney for Health Care, which is another form that allows you to appoint someone to make decisions about your health care if you are unable to do so.
Review this document regularly and discuss your wishes with your health care representative, family, and doctor to ensure that they understand your preferences and that your medical care aligns with your values.
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