Create Document
Adobe PDF
Laws
Statutes – § 700.5506 – § 700.5520
Definition – “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 – Acknowledgment of Two (2) Witnesses (§ 700.5506(4))
Revocation – § 700.5510, § 700.5515
Other Versions (5)
- Honoring Healthcare Choices Michigan
- Hospice of Michigan
- Kimble Center for Legal Drafting
- Michigan Catholic Conference
- Singletrack Health
Honoring Healthcare Choices Michigan Version
Download: Adobe PDF
Guide: Adobe PDF
Download: Adobe PDF
Kimble Center for Legal Drafting Version
Download: Adobe PDF
Michigan Catholic Conference Version
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- HAP – Know Your Medical Rights, Consider an Advance Directive
- Honoring Healthcare Choices Michigan – Designation of Patient Advocate Guide
- 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 State Medical Society – Durable POA for Health Care Brochure
- Mid-State Health Network – Medical and Psychiatric Advance Directives
- Northern Lakes Community Mental Health Authority – Advance Directives Guide
Related Forms (8)
- Advance Directive (Medical POA & Living Will)
- Advance Directive for Mental Health Care
- Do-Not-Resuscitate (DNR) Order
- Durable (Financial) Power of Attorney
- Funeral Representative Designation
- Organ Donation Form
- Patient Advocate Acceptance Form
- Physician Orders for Scope of Treatment (MI-POST) Form
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF, MS Word (.docx)
Advance Directive for Mental Health Care
Download: Adobe PDF
Information: Adobe PDF
In Spanish: Adobe PDF
Do-Not-Resuscitate (DNR) Order
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Funeral Representative Designation
Download: Adobe PDF
Download: Adobe PDF
FAQ: Adobe PDF
Patient Advocate Acceptance Form
Download: Adobe PDF
Physician Orders for Scope of Treatment (MI-POST) Form
Download: Adobe PDF, MS Word (.docx)
Information Sheet: Adobe PDF
Comments