Get Oregon Death With Dignity Act Attending Physician Follow-up Form - Public Health Oregon
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How to use or fill out the Oregon Death With Dignity Act Attending Physician Follow-up Form - Public Health Oregon online
Completing the Oregon Death With Dignity Act Attending Physician Follow-up Form is crucial for documenting a patient's end-of-life experience. This guide offers clear, step-by-step instructions to help you accurately fill out the form online, ensuring compliance with the requirements set forth by the Oregon Health Authority.
Follow the steps to fill out the form carefully and accurately.
- Press the ‘Get Form’ button to access the follow-up form and open it in your chosen document editor.
- Begin by entering the case ID and attending ID at the top of the form as required.
- Provide the date on which the form is being filled out.
- Enter the patient's full name in the specified field.
- Indicate the name of the attending (prescribing) physician.
- Select the cause of death by marking the appropriate box: 'Death with Dignity (lethal medication)', 'Underlying illness', or 'Other'. If 'Other', specify circumstances and provide your signature.
- If the patient died by ingesting the lethal dose, complete Part A fully, including questions regarding the attending physician's presence, time of ingestion, circumstances, and any complications.
- If not present at the time of death, make sure that either another licensed health care professional fills out Part A, or leave it blank if no one was present.
- Complete Part B by entering the date the attending physician began caring for the patient, the date the prescription was written, and details regarding the patient’s hospice care and potential concerns that influenced the physician's prescription.
- Include any additional comments as needed in the designated section.
- Finalize by signing the form, ensuring all required signatures are present before submission.
- Save your form, and consider downloading, printing, or sharing it as needed. Mail the completed document to the specified address.
Start filling out the Oregon Death With Dignity Act Attending Physician Follow-up Form online now.
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As of now, Oregon has maintained its residency requirement for the Death with Dignity Act. This means that only Oregon residents can participate in this program. However, it's crucial to stay updated on potential legislative changes regarding the Oregon Death With Dignity Act Attending Physician Follow-up Form - Public Health Oregon and related guidelines.
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