Advance care planning patient paperwork

Advance care planning (ACP) is a process for you to reflect on your goals, values and make plans about your current and future health choices. The information below will help you understand different types of ACP forms and how to complete them.

To get started, we suggest that you use our What to Expect: Advance Care Planning document, along with our introduction letter and checklist, as guides for completion of these documents.

A DPOAH is a legal document that allows an individual to declare who may speak for them when they cannot speak for themselves. This individual is called a patient advocate.

It is helpful to your patient advocate if you also complete a treatment preference form. This is a document that captures what’s most important to you and allows you to express any specific treatment preferences you may have, such as CPR or ventilator support.

Once you have completed your form(s), you may return them to us in any of the following ways:

• Bring the forms to any Spectrum Health location
• Email completed forms to advancecareplanning@corewellhealth.org
• Fax completed forms to 616.391.8965
• Mail completed forms
  
  • Spectrum Health Advance Care Planning
    100 Michigan Street NE | MC 041
    Grand Rapids, MI 49503