Printable Advanced Directive For Healthcare For Michigan Advance Directives in the State of Michigan Michigan has two kinds of Advance Directives One is the Durable Power of Attorney for Healthcare DPOA HC which can be used in both inpatient and ambulatory care settings within the University of Michigan Hospitals and Health Centers
An advance directive is a written document in which you specify what type of medical care you want in the future or who you want to make decisions for you should you lose the This packet contains a legal document a Michigan Advance Health Care Directive that protects your right to refuse medical treatment you do not want or to request treatment you do want in the event you lose the ability to make decisions yourself Your Michigan Advance Directive has two parts
Printable Advanced Directive For Healthcare For Michigan
Printable Advanced Directive For Healthcare For Michigan
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Advance Directive Choosing My Patient Advocate PDF 578KB West Michigan Advance Care Planning Forms Advance Directive PDF 848KB Advance Directive Spanish PDF 1 3MB Frequently Asked Questions PDF 426KB Why do you need to complete an Advance Directives document
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Printable Advanced Directive For Healthcare For Michigan

Michigan Advance Directive Printable Form

Michigan Advance Directive Printable Form Printable Templates

Michigan Advance Directive Printable Form

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Create your advance healthcare directive for Michigan using our free PDF template and instructions Learn about surrogate decision makers in Michigan

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An advance directive is a written document in which you specify what type of medical care you want in the future or who you want to make decisions for you should you lose the ability to make decisions for yourself Why is there a need for advance directives Years ago most individuals died in their own homes

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This document was developed to meet the legal requirements of Michigan It is not de signed to replace the counsel of your attorney This is an Advance Directive for print legibly Name Date of Birth Last 4 digits of SSN Telephone Day Evening Cell Address City State Zip

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TM for your care This is a legal form that lets you have a voice in your health care It will let your family friends and medical providers know how you want to be cared for if you cannot speak for yourself What should I do with this form Please share this form with your family friends and medical providers

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The advance directive lets you legally select someone to help make medical decisions in one of these situations and also lets you outline some of your choices and preferences for medical treatment It is your legal right to complete an advance directive Who should complete an advance directive
This Advance Directive Choosing My Patient Advocate form has been designed to meet all of the applicable requirements under the Michigan Durable Power of Attorney for Health Care law MCL 700 5506 et seq An Advance Directive is a written statement about your wishes regarding medical treatment In the State of Michigan the Durable Power of Attorney for Health Care DPOA HC form is the most widely used Advance Directive The DPOA HC allows you to name your Patient Advocate and is a legal document in Michigan
I A patient admitted to a health facility or agency has the rights enumerated in Section 20201 of the Public Health Code Act No 368 of the Public Acts of 1978 being Section 333 20201 of the Michigan Compiled Laws I understand the above conditions and I accept the designation as patient advocate for