Patients & Visitors

Advanced Directives

An advanced directive is a legal document that allows you to state your choices for medical treatment before you actually need such care. When you need medical care, certain decisions need to be made involving the kind of care to be given. These decisions may become harder if you become unable to tell your doctor and loved ones what kind of medical care you want. Taking the time to fill out an advanced directive also gives you the opportunity to tell health care providers what your wishes are regarding your treatment and allows you to name a person to make treatment decisions for you in the event that you are unable to speak for yourself. A signed advance directive will only be followed in the event that you become mentally or physically unable to convey your wishes regarding medical care decisions.

Advance Directives Forms

Consent to Medical Treatment - For a person who has not issued a directive and needs medical care. Does not include withholding or withdrawing life sustaining treatment. PDF in English / PDF in Spanish

Declaration for Mental Health Treatment - This is an important legal document. It creates a declaration for mental health treatment. PDF in English / PDF in Spanish

Directive to Physicians and Family or Surrogates Form - This is an important legal document known as an Advance Directive. It is designed to help you communicate your wishes about medical treatment at some time in the future when you are unable to make your wishes known because of illness or injury. PDF in English / PDF in Spanish

Medical Power of Attorney Form - This is an important legal document. Except to the extent you state otherwise, this document gives the person you name as your agent the authority to make any and all health care decisions for you in accordance with your wishes, including your religious and moral beliefs, when you are no longer capable of making them yourself. PDF in English / PDF in Spanish

Out-of-Hospital Do Not Resuscitate Information Form PDF in English

Procedure When Person Has Not Executed or Issued a Directive and is Incompetent or Incapable of Communication PDF in English / PDF in Spanish Note: May include withholding or withdrawing life sustaining treatment.