Patient Forms

Power of Attorney

A power of attorney form is a legal contract that is used to give another party or individual authorization to act on behalf of someone in affairs relating to legal matter.
To learn more about an Advance Directive >> Informational Resource

Power of Attorney – English Power of Attorney – Spanish Advance Directive-English Advance Directive-Spanish → View the video, “Advance Care Planning” for additional information.

 

Do Not Resuscitate (DNR)

A do not resuscitate order form is also known as a DNR. It instructs medical professionals that the patient does not wish to receive certain medical procedures (such as CPR) to save their life.

• DNR Form Instructions (PDF)
• Out of Hospital DNR
• Out of Hospital DNR Spanish Instructions (PDF)

Health Insurance Portability and Accountability Act (HIPAA)

• HIPAA Form (English)
• HIPAA Form (Spanish)

HCM Release of Information (PDF)