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
Medical Power of Attorney Form
Combined Medical Power of Attorney and Living Will Form
Physician Orders for Scope of Treatment (POST) – SAMPLE
Do Not Resuscitate (DNR) Card – SAMPLE
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
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
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