Helpful Forms for Care Partners
Preparing for the end of life is not easy, but it is an act of love. Advance Care Planning gives individuals and families the chance to reflect on what matters most—our faith, values, and the care we hope to receive in our final days.
This page offers a collection of practical resources to guide you and your loved ones in making thoughtful decisions before a crisis occurs. Whether you’re exploring your own wishes or walking alongside someone you love, these forms and guides can provide clarity and peace of mind.
Below you’ll find helpful documents, including advance directive forms, conversation guides, and educational materials about end-of-life care.
Educational Resources
The Five Wishes document walks you through the five most important things to talk about when it comes to advance care planning.
Five Wishes: Talking About Your Wishes
A shorter companionate overview to briefly review your five wishes.
A written communication to help guide those who might need to make medical decisions on your behalf in the future. It is a way to record your wishes but is not legally binding. Family members and physicians will still need to address clinical situations as they arise and decide how a dementia directive like this might provide guidance in a given situation.
This presentation explains Advance Care Directives—what they are, why they’re important, and how to create one.
Instructions and an overview of the Medical Orders for Scope of Treatment form.
Conversation Guide for Loved Ones of People with Dementia
A guide on understanding what matters most to someone living with Alzheimer’s or another form of dementia, helping them have a say in their end of life health care.
The Reality of CPR for Seniors
Helpful facts about CPR to support you and your loved ones in making an informed decision about whether to receive CPR if the heart stops.
This brochure shares important information about funerals to help you and your family feel more prepared and confident in your decisions.
Legal Forms
Directive to Physicians and Family or Surrogates
This form is designed to help you communicate your wishes about medical treatment at some time in the future when you are unable to make your wishes known because of illness or injury.
Except to the extent you state otherwise, this document gives the person you name as your agent the authority to make any and all health care decisions for you in accordance with your wishes, including your religious and moral beliefs, when you are no longer capable of making them yourself.
Declaration For Mental Health Treatment
This document allows you to make decisions in advance about mental health treatment and specifically three types of mental health treatment: psychoactive medication, convulsive therapy and emergency mental health treatment. The instructions that you include in this declaration will be followed only if a court believes that you are incapacitated to make treatment decisions. Otherwise, you will be considered able to give or withhold consent for the treatments.
Out of Hospital Do Not Resuscitate Form
This form instructs emergency medical personnel and other health care professionals to forgo resuscitation attempts and to permit the patient to have a natural death with peace and dignity. This order does NOT affect the provision of other emergency care including comfort care.
Medical Orders for Scope of Treatment Form
The MOST form is a document designed to help healthcare professionals know and honor the treatment wishes of their patients. The form helps physicians, nurses, long-term care facilities, hospices, home health agencies, emergency medical services, and hospitals promote patient autonomy by documenting treatment preferences and converting them into a physician’s orders.