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.
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.
Spanish: Formulario de Directivas Médicas Anticipadas
Large print: Advance directive
Return advance directives by:
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:
Release of Medical Information, Marshfield Clinic
1000 North Oak Avenue
Marshfield, WI 54449
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 with payment of a charge.
A Release of Information Consent may be obtained from Health Information Department or downloaded online. It must be completed before release of medical information.