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Advance Care Planning

At Mercy Health, we want to help you plan for you and your family's future. Since no one can predict an accident or illness, taking the proper steps in ensuring that your health care preferences are met is very important. We want to help you start the process of advance care planning. Advance Care Planning is a way for you to discuss with your loved ones what your health care preferences are and what should happen in case any situation leaves you unable to make decisions for yourself.

Choosing the right person to make these decisions for you is essential. That person should have a good understanding about your preferences, values, beliefs, wishes and goals that will help him or her make the decisions you want made. This person needs to be able to uphold your preferences even if they personally disagree with your expressed choices. The person that you choose to make these decisions for you is also known as your
patient advocate.

After choosing your patient advocate, there are two documents that need to be filled so that we can better understand what your preferences are. The packet listed below includes the two forms and some more information and instructions on both of these forms. The two forms that must be completed are the:

  • “Choosing My Patient Advocate” form (also called an "Advance Directive" or a "Durable Power of Attorney for Health Care") 

and

  • “Accepting the Role of Patient Advocate” form, which your patient advocate(s) must sign before acting on your behalf.

After going over these forms with your patient advocate, the documents must be signed in the presence of at least two witnesses and a copy of the forms should be given to your primary care provider
(Don't have a primary care provider? Find one here > ). You can also provide a copy to your preferred hospital. Keeping a copy on file for yourself and your patient advocate is highly recommended.

Please note that the forms require official signatures. You can print and fill out the forms by hand, or type in the required information, print and sign.

Packet (English)

Packet (Spanish)

Advance Directive Wallet Card
Keep this card with you at all times, so that health care providers are aware you have an advance directive and how they can get in contact with the right people.

More Information and Resources

Making Choices Michigan offers additional resources for advanced care planning, including education, classes, assistance and support. 

Visit the Making Choices Michigan website to learn more >