Oregon Advance Directive Form Request "*" indicates required fields Dear Patient: As your primary care physician I recommend completion of an Oregon Advance Directive Form. InOregon, the form does two things: 1. It names a person to make health care decisions for you if you cannot make them yourself. 2. It gives your doctor directions as to what sorts of treatment you want in circumstances where you are unable to give those directions yourself.Please indicate below if you would like to be provided an Oregon Advance Directive Form to take home with you to complete. Completion of the Advance Directive is entirely voluntary. Request an Oregon Advance Directive form be given to me Have been offered an Oregon Advance Directive Form and do not want one at this time. Name* First Last Email* Date* MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged. Δ Back to New Patient Forms
