Patient Forms

Advanced Directives

Federal law requires that we furnish information to you regarding your right to make advance health care decisions. Right now, you may be able to make your own health care decisions. However, at some time in the future you may not have the ability to make such decisions. By giving advance directions, you can express your wishes to your family and your healthcare provider about the medical care you would like to receive and whether you want another person to be able to accept or refuse treatment for you.


Authorization To Release Health Information   (DOWNLOAD PDF)

Consent For Use/Disclosure of Health Information (DOWNLOAD PDF)

Authorization for Disclosure (DOWNLOAD PDF)

Privacy Statement (DOWNLOAD PDF)

Advanced Directives (DOWNLOAD PDF)