Information for Medical Professionals

Physician Forms for Download

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

Attending Physician Compliance Form

Revised 01/2020

Consulting Physician's Compliance Form

Revised 05/2018

Attending Physician Follow-up Form

Revised 02/2019

Psychiatrist / Psychologist Form

Revised 05/2018

Instructions for Download

Prescriber Instructions

Revised 06/2017

Consultant Instructions

Revised 06/2017

We are a donor-supported organization

We are a donor supported organization (501)(c)(3) and rely on your donations to provide personal quality end-of-life service and support