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  • Advance Directives In Oregon - Kaiser Permanente

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AdvANCE diRECtivES iN OREgON Important information for Kaiser Permanente members and their families 64KPCC-09/9-09 0030 5793 All plans offered and underwritten by Kaiser Foundation Health Plan of.

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How to use or fill out the Advance Directives In Oregon - Kaiser Permanente online

Filling out an advance directive is a crucial step in ensuring your healthcare wishes are respected when you cannot voice them yourself. This guide offers clear and supportive instructions for completing the Oregon Advance Directive form as a Kaiser Permanente member.

Follow the steps to complete your Advance Directive form.

  1. Click ‘Get Form’ button to obtain the advance directive document and open it in your chosen editing tool.
  2. Read through Part A of the form, which provides essential information regarding advance directives and their significance. Make sure to understand your rights and the implications of the document before proceeding.
  3. In Part B, appoint your health care representative. Select someone you trust and include their contact information in the designated fields on the form.
  4. If desired, appoint an alternate health care representative by filling in the respective fields. This person will step in if your primary representative is unable to fulfill their duties. If you do not choose an alternate, write 'no alternate' on the form.
  5. Provide any special instructions regarding your healthcare preferences in the designated section. If you need more space, include a separate document with your name, health record number, date, and signature, and attach it to the form.
  6. Have two adults witness your signature on the form. Ensure that your witnesses are not related to you, are not your health care representative or alternate, and do not have a vested interest in your estate.
  7. Sign and date the form in front of your witnesses. Afterward, have them sign and date the 'Declaration of Witnesses' section.
  8. Ensure your health care representative and alternate (if appointed) sign and date the form in Part E. Their signatures indicate their acceptance of the role.
  9. Once the form is completed, keep the original in a safe place, review it periodically, and provide copies to your health care representative, any alternate, and your physician to ensure it is included in your medical records.

Start completing your Advance Directive online today to ensure your health care wishes are recognized.

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Oregon & Washington Health Care Facilities | Kaiser Permanente.

Facilities in Oregon/Washington. With many affiliated providers and facilities in the Eugene-Springfield area, we offer access to more options for care and services when and where you need them.

An advance directive provides a clear understanding of your health care wishes before you become unable to voice them, and a durable power of attorney makes decisions for you that you can no longer make. Failure to enact both may leave you susceptible to health care decisions contradictory to your wishes.

Medford Kaiser (Out-of-Network) Treatment Centers - Kaiser Permanente Treatment Centers and Rehab Medford, Jackson County, Oregon - Kaiser (Out-of-Network) Treatment Programs Medford.

You must sign the advance directive and have it notarized or witnessed by two qualified witnesses. To be qualified a witness must be an adult who is not your attending physician, your attending health care provider, your health care representative or your alternate health care representative.

Membership was 615,000 in 2018. There were 58 medical offices and other facilities and 1,261 physicians. Regions covered include Portland, Salem, and Eugene in Oregon and Vancouver and Longview-Kelso in Washington.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232