The Gresham Oregon Request for Medication to End Life — Statutory form is a legal document that allows individuals who are terminally ill and meet certain requirements to request medication from a healthcare provider to end their lives in a peaceful and dignified manner. This form is specific to the state of Oregon and is mandated by the Oregon Death with Dignity Act. The Gresham Oregon Request for Medication to End Life — Statutory form is designed to protect the rights and autonomy of individuals facing the prospect of a painful, incurable illness. It provides a detailed process for patients to follow, ensuring that their decision to seek medical aid in dying is voluntary, informed, and not influenced by external factors. Some key elements of the Gresham Oregon Request for Medication to End Life — Statutory form include: 1. Eligibility: The form outlines the criteria one must meet to qualify for the option of medical aid in dying. This typically includes being at least 18 years old, a resident of Oregon, diagnosed with a terminal illness with a prognosis of six months or less to live, and being of sound mind to make such a decision. 2. Certification: The form requires the patient's attending physician and a consulting physician to certify the individual's eligibility and ensure that all legal requirements are met. These physicians must confirm that the patient is mentally capable of making the decision, that the diagnosis is terminal, and that alternative treatments have been explored. 3. Waiting Period: The Gresham Oregon Request for Medication to End Life — Statutory form includes a mandatory waiting period of 15 days between the patient's initial request and the fulfillment of the prescription. This waiting period allows individuals to carefully consider their decision and consult with their loved ones and healthcare providers. 4. Witnessing: The form must be witnessed by two individuals who are not related to the patient, not beneficiaries of their estate, and not directly involved in their healthcare. These witnesses confirm that the patient signed the form voluntarily and without coercion. 5. Documentation: The completed form becomes part of the individual's medical record. It is important to retain copies of the form, ensure it is accessible to healthcare providers, and inform loved ones and designated healthcare agents of its existence. Different types or variations of the Gresham Oregon Request for Medication to End Life — Statutory form may include updates to reflect changes in legislation, minor modifications to wording, or additional instructions to make the process more user-friendly. However, the fundamental purpose and requirements of the form remain consistent across different versions. In conclusion, the Gresham Oregon Request for Medication to End Life — Statutory form is a vital legal instrument that provides terminally ill individuals with the option to exercise their autonomy and control over the manner in which they pass away. It ensures a transparent and regulated process that protects patients' rights while allowing them to seek a peaceful end-of-life option when faced with an incurable illness. Keywords: Gresham Oregon, Request for Medication to End Life, Statutory form, Oregon Death with Dignity Act, legal document, terminally ill, voluntary decision, eligibility criteria, attending physician, consulting physician, waiting period, witnessing, documentation.