Advance Directives Forms & Laws

Click on the links below to download the Living Will and Medical Power of Attorney forms in a printable/viewable format. All forms are in Adobe Acrobat Reader

Living Will Form

Medical Power of Attorney Form

Combined Medical Power of Attorney and Living Will Form

Frequently Asked Questions Booklet about the Living Will and Medical Power of Attorney forms (includes Living Will, Medical Power of Attorney and Combined Medical Power of Attorney and Living Will forms)

Physician Orders for Scope of Treatment (POST)SAMPLE

Do Not Resuscitate (DNR) CardSAMPLE

Directions on How to Copy POST Form

NEW ADVANCE CARE PLANNING BULLETINS

DHHR Obligation to Serve as Health Care Surrogate

OHFLAC Memo Addressing DNR Issues

Warning Against Special Directive Attachment

LEGISLATION

Health Care Decisions Act

DNR Act

Management of Intractable Pain Act – H. B. 4275

Joint Policy Statement on Pain Management at the End of Life

H.B. 2815 (Continuing Education for End-of-Life Care)

Model Policy for the Use of Controlled Substances for the Treatment of Pain

H.B. 2839 Management of Pain Act

ADVANCE CARE PLANNING FORMS AND TOOLS

Assessing Decision-Making Capacity

Assessing Decision-Making Capacity Flowchart

Job Description for Medical Power of Attorney Representative and Healthcare Surrogate in West Virginia

Mature Minor and Emancipated Minor

Family Conversations - How to Talk with Your Family and Friends About Future Health Care Decisions

POST Update: Respecting Patients’ Wishes at the End of Life

Possible Directives for the Special Directives or Limitations section of the Living Will

Surrogate Selection Checklist

Uniform Determination of Death

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Last modified: August 13, 2009. Site design by WVU Web Services.
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