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Advanced Directives

Advance Directives Resources

In 2004, Tennessee law was revised to recognize more than one written advance directives for health care decision making: the “Living Will” or “Advance Care Plan” and the “Medical Power of Attorney” or “Appointment of Health Care Agent”.

You can download the new forms and information about these directives from this site. All forms have a special section for you to write in specific comments about circumstances in which you would not want CPR, a feeding tube, dialysis, or treatment with a breathing machine. You should discuss these comments with your family and doctor so they can better understand what is important to you in receiving medical treatment.

You can use these documents to let your family and doctor know your decisions for health care if you become unable to decide for yourself. You can appoint someone you know and trust as your health care decision maker to ensure that your choice or decision is honored.

Advanced Directive Forms

  • Advanced Care Plan Form (PH-4194)
  • Appointment of Health Care Agent Form
  • Appointment of Surrogate Form
  • Physician Order for Scope of Treatment (POST) Form (UDNR) (PH-4193)

PowerPoint Presentations

Frequently Asked Questions

Advance Care Plans and Appointment of Health Agent

POST and Appointment of Surrogate