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You can now decide IN ADVANCE about your health care

Health care and legal groups urge every Michigan resident over 18 years old to complete a Durable Power of Attorney for Health Care Designation Form.

The forms were developed and approved by the Michigan State Medical Society, the State Bar of Michigan, the Michigan Health and Hospital Association, and the Michigan Osteopathic Association.

The form provides a patient with the means to appoint a patient advocate to make health care decisions for them if they become incapacitated.
Designation forms and accompanying brochures can be ordered in quantity through 'Patient Advocate.' Price is 40 cents for the pair when ordering 100 or more. Under 100, the price is 45 cents. Minimum quantity discount order is 50. Individual sets (orders under 10) are $2.00, which includes two forms.

The Designation Form is an eight-page booklet. The document is designed to be a 'user friendly' form. The short patient brochure accompanying each form covers more detailed information about the new Durable Power of Attorney for Health Care law.

To order your forms and brochures online, click here.
To order your forms and brochures by mail, or fax, click here.
To order your forms by phone, call Heather Hill at 517-336-5772

For more information about Durable Power of Attorney for Health Care, contact David K. Fox at 517-336-5731, or dkfox@msms.org