Create Document
Adobe PDF
Microsoft Word
This Document Contains:
To sign up as an organ/tissue donor, visit the following website operated by the non-profit organization known as “Gift of Life Michigan”.
Laws
Statutes – Designation of Patient Advocate (§ 700.5506 – § 700.5520), Living Will (No Legal Statute)
Definitions – “Patient advocate” means an individual presently authorized to make medical treatment decisions on behalf of a patient under sections 5506 to 5515 of the estates and protected individuals code (§ 333.5674(3)).
Signing Requirements – The section of the advance directive designating a patient advocate requires the principal to sign in the presence of two (2) qualified witnesses (§ 700.5506(4)).
Other Versions (14)
- AARP
- America Living Will Registry
- Beaumont Health
- Covenant HealthCare
- Five Wishes (Aging with Dignity)
- Henry Ford Health System
- Hurley Medical Center
- Making Choices Michigan
- McLaren Health Care
- Michigan Health Information Network
- Michigan Medicine
- Prepare for Your Care
- Professional Media Resources
- St. John Providence
Download: Adobe PDF
Instructions: Adobe PDF
America Living Will Registry Version
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Henry Ford Health System Version
Download: Adobe PDF
Download: Adobe PDF
Making Choices Michigan Version
Download: Adobe PDF
Download: Adobe PDF
Michigan Health Information Network Version
Download: Adobe PDF
Download: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Professional Media Resources Version
Download: Adobe PDF
Download: Adobe PDF
Multilingual Versions (9)
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- HAP – Know Your Medical Rights, Consider an Advance Directive
- Henry Ford Health System – Advance Care Planning Brochure
- Henry Ford Health System – Breathing Machines Brochure
- Henry Ford Health System – CPR Brochure
- Henry Ford Health System – Tube Feeding Brochure
- Honoring Healthcare Choices Michigan – Designation of Patient Advocate Guide
- Michigan Catholic Conference – Guidelines for End of Life Decisions
- Michigan Department of Health and Human Services – POST FAQ
- Michigan Department of Public Health – Notice to Patients About Advance Directives
- Michigan Health Information Network – Advance Care Planning Overview (Spanish)
- Michigan Health Information Network – Advance Directive Handout
- Michigan Health Information Network – Patient Advocate Guide
- Michigan Long Term Care Ombudsman Program – DNR Order Fact Sheet
- Michigan State Medical Society – Durable POA for Health Care Brochure
- Mid-Michigan Health – Living Will Completion Guide
- Mid-State Health Network – Medical and Psychiatric Advance Directives
- Northern Lakes Community Mental Health Authority – Advance Directives Guide
- Respecting Choices – Proactive Care Planning for Covid-19
Related Forms (6)
- Advance Directive for Mental Health Care
- Advance Directive Wallet Cards
- Durable (Financial) Power of Attorney
- Funeral Representative Designation
- Organ Donation Form
- Physician Orders for Scope of Treatment (MI-POST) Form
Advance Directive for Mental Health Care
Download: Adobe PDF
Information: Adobe PDF
In Spanish: Adobe PDF
Advance Directive Wallet Cards
Download: Adobe PDF
In Spanish: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Funeral Representative Designation
Download: Adobe PDF
Download: Adobe PDF
FAQ: Adobe PDF
Physician Orders for Scope of Treatment (MI-POST) Form
Download: Adobe PDF, MS Word (.docx)
Information Sheet: Adobe PDF
Comments