_____________________ COUNTY/ OREGON HEALTH AUTHORITY, pUBLIC HEALTH DIVISION for the state of oregon [Oregon Health Authority, Public Health Director/ No. ______________ Local Public Health Authority] Petitioner, EMERGENCY ORDER FOR [ISOLATION/QUARANTINE] v. [Insert initials of person(s) to be detained], Respondent. To: [Insert Name of Respondent and address, if possible] Pursuant to ORS 433.121(1), the Petitioner has determined that there is probable cause to believe that you require immediate [isolation/quarantine] in order to avoid a clear and immediate danger to others. The Petitioner is issuing this emergency order because considerations of safety do not allow for the filing of a petition for [isolation/quarantine] with the court. This order is based on the following facts: [Insert, in separate paragraphs, facts that tell the respondent's story, in chronological order, detailing: The reasonable efforts made to obtain voluntary compliance including requests for testing or medical examination, treatment, counseling, vaccination, decontamination of persons or animals, isolation, quarantine, and inspection and closure of facilities; or why reasonable efforts to obtain voluntary compliance are not possible and why the pursuit of these efforts creates a risk of serious harm to others;
_____________________ COUNTY/ OREGON HEALTH AUTHORITY, pUBLIC HEALTH DIVISION for the state of oregon [Oregon Health Authority, Public Health Director/ Local Public Health Authority] Petitioner, v. [Insert initials of person(s) to be detained], Respondent. No. ______________ EMERGENCY ORDER FOR [ISOLATION/QUARANTINE] To: [Insert Name of Respondent and address, if possible] Pursuant to ORS 433.121(1), the Petitioner has determined that there is probable cause to believe that you require immediate [isolation/quarantine] in order to avoid a clear and immediate danger to others. The Petitioner is issuing this emergency order because considerations of safety do not allow for the filing of a petition for [isolation/quarantine] with the court. This order is based on the following facts: [Insert, in separate paragraphs, facts that tell the respondent's story, in chronological order, detailing: The reasonable efforts made to obtain voluntary compliance including requests for testing or medical examination, treatment, counseling, vaccination, decontamination of persons or animals, isolation, quarantine, and inspection and closure of facilities; or why reasonable efforts to obtain voluntary compliance are not possible and why the pursuit of these efforts creates a risk of serious harm to others;
QuarantineManual-forms.docx