An official website of the State of Oregon
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You may be able to get Advance Directive and Healthcare Representative Appointment forms from your healthcare provider.
You can use the forms below, which are copied from Senate Bill 199 (2021). You do not have to use these specific forms, but any form you use must be substantially the same.
Form for Appointment of Health Care Representative and Alternate
You can also order
Advance Directive forms for a fee on the
Oregon Health Decisions website.
Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:
If you need help or have questions, please contact
firstname.lastname@example.org or 711 TTY.
Return to Advance Directive Adoption Committee page
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