Oregon Living Will Template
This Living Will is created in accordance with Oregon state laws regarding advance directives. It outlines your wishes regarding medical treatment in the event that you are unable to communicate your preferences.
Please fill in the blanks with your information:
Personal Information:
- Name: ___________________________
- Date of Birth: ____________________
- Address: _________________________
- City, State, Zip: ________________
- Phone Number: ___________________
Directive:
I, ___________________________, being of sound mind, make this Living Will to express my wishes regarding medical treatment in the event that I am unable to communicate my preferences due to a terminal condition or irreversible condition.
My wishes are as follows:
- If I am unable to communicate and my condition is terminal, I do not wish to receive the following treatments:
- Cardiopulmonary resuscitation (CPR)
- Mechanical ventilation
- Artificial nutrition and hydration
- If I am in a persistent vegetative state, I do not wish to receive life-sustaining treatments.
- I wish to receive comfort care, including pain relief and other measures to ensure my comfort.
Signature:
By signing below, I confirm that I am making this Living Will voluntarily and that I understand its contents.
Signature: _________________________
Date: ______________________________
Witnesses:
This document must be witnessed by two individuals who are not related to you and who do not stand to gain from your estate.
- Witness 1 Name: ______________________
- Witness 1 Signature: __________________
- Date: ________________________________
- Witness 2 Name: ______________________
- Witness 2 Signature: __________________
- Date: ________________________________
Make sure to keep this document in a safe place and share copies with your healthcare providers and loved ones.