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Oregon Advance Directive
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Completion of this form is optional. You do not need to fill it out or sign it.
A: IMPORTANT INFORMATION ABOUT THIS ADVANCE DIRECTIVE
This is an important legal document. It can control critical decisions about your health care. Before
completing and signing this form, consider these important facts:
1) Regarding Appointing a Health Care Representative:
You have the right to name a person to direct your health care when you are unable to direct care for
yourself. This person is referred to as your Health Care Representative. You can designate a Health
Care Representative by using Part C of this form. Your representative must accept your choice by
completing Part D of this form.
You do not have to have this document remain as it is. You can write in any provisions or
restrictions you choose about how your representative makes decisions for you. Your representative
must follow your desires as stated in this document and those otherwise made known. If your
specific desires are unknown, your representative must try to act in your best interest. Your
representative may resign at any time. Your alternate representative may take the place of your
representative if your representative cannot continue to represent you.
2) Giving Health Care Instructions:
You have the right to give specific instructions for health care providers to follow in case you
become unable to direct your own care. You can do this by using Part C of this form.
3) Facts About Completing This Form
This form is valid only if you sign it voluntarily and when you are of sound mind. You are not
required to complete this form. If you do not want an advance directive, do not compete this form.
Unless you choose to set a specific duration for this advance directive, this form will remain in effect
until you revoke it. If you have set a specific expiration date and you become unable to direct your