- Click on the "EOLA Online Forms Portal" image above
- Click on "Sign Up" to create an account (upper right corner)
- Click on the "Start" button below the "End of Life Option Act" title and image
- Access forms
- Click on the "Submit EOLA forms online" button to access and submit forms electronically
- or
access PDF forms on this webpage
Note: The first form that is required to be entered into the EOLA Portal is the Attending Physician Checklist & Compliance Form.
If you have any questions regarding the EOLA form submission portal, contact the EOLA at EOLInfo@cdph.ca.gov.