Patients and Visitors
  • Advance Directive Forms

  • We want to ensure that you and your loved ones have the most comfortable experience during your time at the hospital. In order to ensure you get care according to your preferences. The following section serves as a resource for the community. We have provided valuable links and PDF documents that you can download regarding end-of-life care.

    Please Click on the titles below to view the articles/forms. You will need Adobe Reader to view the PDF Files. Please click on the Get Adobe Reader button to download the Adobe Reader.

    Click on this link to download the Adobe PDF Reader

    Advance Healthcare Directive (English)

    You have the right to give instructions about your own health care. You also have the right to name someone else to make health care decisions for you. The Advance Health Care Directive form lets you do one or both of these things. It also lets you write down your wishes about donation of organs and the selection of your primary physician. If you use the form, you may complete or change any part of it or all of it. You are also free to use a different form.

    Click here to download the English Version.

    Advance Healthcare Directive (Spanish)

    Usted tiene derecho a dar instrucciones sobre la atención de su salud. También tiene derecho a designar a otra persona para que tome decisiones sobre la atención de su salud en su nombre. Este formulario también le permite escribir sus deseos sobre la donación de órganos y la designación de su médico de atención primaria. Si utiliza este formulario, puede completarlo o cambiar cualquier parte del mismo. También puede utilizar un formulario diferente, si lo desea.

    Haga clic aquí para descargar la versión en español.

    Aging With Dignity (Five Wishes)

    Five Wishes also encourages discussing your wishes with your family and physician.Aging with Dignity publishes Five Wishes, a legal document that allows you to express your intentions concerning your medical, personal, emotional and spiritual needs if you become seriously ill and are unable to speak for yourself. Five Wishes is valid under the laws of most states. A video that walks you through the document and provides answers to common questions is also available for purchase. Five Wishes is available in English and Spanish, with copies in French, Korean, Vietnamese, Russian, and Braille by request.

    Click here to download Aging with Dignity (Five Wishes).

    Aging With Dignity (Cinco Deseos)

    La organización sin fines de lucro Aging with Dignity (Envejeciendo con Dignidad) ha creado una guía llamada "Cinco Deseos" para darle información, consejo y herramientas legales necesarias para asegurarle que sus deseos y los de sus seres queridos sean respetados. Para ver un ejemplo, no imprimible, por favor para descargar la versión en español.