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Find POLST Paradigm information and forms for:


Ordering the Oregon POLST

The POLST order form is for Health Care Professionals and organizations only. Individuals seeking to obtain a POLST form may do so through their physician.

The Oregon POLST form is updated approximately every two years. The most current version is June 2009. All previous versions remain valid.

Order Information

POLST Forms:


Wallet Cards ($.50 each):
Quantity:

Patient Brochures - English ($.35 each):
Quantity:

Patient Brochures - Spanish ($.35 each):
Quantity:

 

DVD (VHS available upon request)
$5.00 each (shipping included)

Please enter quantity

POLST At Work 

Your End-of-Life Prescription 

Honoring the Wishes of the Spanish Speaking Patient & Family 

The Oregon POLST Registry 

(First copy free)

Shipping Information

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Address:

 

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Fax:
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*Required information

 


Payment Options

All orders placed online will be invoiced unless otherwise requested. Please contact the Center for Ethics in Health Care at 503-494-3965 for more information about payment options.

Shipping

All orders are shipped USPS ground. Please allow 5-7 business days for delivery.


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