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Forms and Medical Records

​​​​​​​​​​​​​​​​​Advance care planning

This process helps you think about your values and goals related to future health care choices, including end-of-life care.

During this process, you select a person who can make choices for you, if you are unable to make them yourself. You can transfer those wishes onto a written plan called an advance directive or Power of Attorney for Health Care.

An advance care directive is important if your attending physician determines you cannot communicate your health care choices because of physical or mental incapacity.​​ 

Visit Marshfield Clinic Health System's advance directive's site​ for more information, or download the form below. Ask for someone from Social Services to contact you or your family if you have questions.​

Advance directive form

Spanish: Formulario de Directivas Médicas Anticipadas​
Large print: Advance dir​ective​​​​​​

Return advance directives by:

Patient forms

You can find most patient forms on Marshfield Clinic's website. Here are some specific forms you may need during your stay at the hospital:

​​​​Returning completed forms

Power of attorney/living will:

  • Give copies to your doctor or clinic, hospital, family members and close friends.
  • Put the original completed form in a safe place at home.
  • Step-by-step instructions on Page 29 of the form provide further details for discussing your options with form recipients and asking them to honor your choices.

Release of information and treatment of minor forms can be given to your doctor or returned to:

Health Information Management, Marshfield Clinic
1000 North Oak Avenue
Marshfield, WI 54449

Medical records

If you, or a person you authorize, submit a Release of Information Consent to our hospital, you or your authorizer may:

  • Inspect your health records with reasonable notice during regular business hours.
  • Receive a copy of your health care records​.

A Release of Information Consent may be obtained from Health Information Department or downloaded online. It must be completed before release of medical information.

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