Client Documents for Download

These client forms have also been made available:

  • POLST – Physician Orders for Life Sustaining Treatment Form
  • Request for Medication Form
  • Advanced Directive Form
  • EOLCOR Client Services Packet

All forms are downloadable pdfs for client use only.

EOLCOR Client Services Packet

updated 06/2017

Download PDF

Request for Medication Form

Revised 02/2014
Download the PDF

POLST - Physician Orders for Life Sustaining Treatment Form

Revised 08/1995

NOTE: MUST BE PRINTED IN BRIGHT PINK.

Download the PDF

Advanced Directive Form

Download the PDF
MISSION STATEMENT

“End of Life Choices Oregon” provides personal support and information regarding the Death With Dignity Act and other legal end of life options to Oregonians facing end of life decisions, the medical community and the public.”