Advance Care Planning

A person filling out an advance directive form.

At Faith Regional, we are committed to respecting your wishes and healthcare directives during your time here. We know there are times when you may not be able to make decisions about your care because of your illness or situation. We encourage all patients to have an advance care plan in place prior to being admitted to the hospital or undergoing a procedure. Advance directives can be helpful for those you have designated that may need to make healthcare or treatment decisions on your behalf.


What is an Advance Directive?

An advance directive is a declaration, written and signed by a competent adult, in accordance with the law, to give directions about future medical care or to designate another person to make medical decisions if the patient loses decision-making capacity.

Faith Regional is required by law to ask all inpatients, age 19 or older if they have an advance directive. Advance directives include Living Wills and Durable Power of Attorney for Health Care documents in which your choices for health care decisions are outlined.

If you have an advance directive, please bring a copy with you and let your healthcare team know you have an advance directive. This directive will be used to guide the decision-making of all care provided to you if you should become unable to communicate your desires about medical treatment.


Advance Directive Templates

You may choose to meet with your attorney to draft your advance directive. If you do not have an attorney and need assistance creating your advance directive, we have resources available for you.

Advance Directive/Power of Attorney for Healthcare Template

Download the Advance Directive/Power of Attorney for Healthcare template. This document does require a notary public signature. A notary public may be available at Faith Regional during the time of your stay, ask your caregiver to make that request.

Spanish Version of the Advance Directive Template

Download the Advance Directive/Power of Attorney for Healthcare Spanish version template. This document does require a notary public signature. A notary public may be available at Faith Regional during the time of your stay, ask your caregiver to make that request.

Advance Directive Wallet Card

For your convenience, an easy-to-carry wallet card has been created. Download and print here.

Contact Us

Email your questions to contactus@frhs.org