Information for Medical Professionals
Doc-to-Doc Request Form
Medical professionals can connect with experienced physicians to ask questions and seek advice.
Forms and Instructions
Attending Physician Compliance Form
Revised 01/2020
Consulting Physician's Compliance Form
Revised 05/2018
Attending Physician Follow-up Form
Revised 02/2019
Request for Medication Form
English version
Request for Medication Form
Spanish version
Psychiatrist / Psychologist Form
Revised 05/2018
Instructions for Download
Prescriber Instructions
Revised 06/2017
Consultant Instructions
Revised 06/2017
For Pro-bono Doctors Only
Registration for Liability Limitation
Limitations on liability of health practitioners providing health care services without compensation
Oregon Revised Statutes 676.340 and 676.345 limit the liability of Oregon licensed physicians, physician assistants, acupuncturists, and certain other health care practitioners from injury, death, or other loss that may arise from services they provide without compensation.Revised 01/2020
Advance Directives
Advance Directive Form
Revised November, 2023
Directivas anticipadas para la atención médica de Oregon
actualizado noviembre 2023
EOLCOR is a non-profit donor supported (501)(c)(3)
We rely on your donations to provide quality end-of-life services and bedside support