Health Care Directive Form
Preparing a health care directive can provide your family and physician with written
instructions about your future medical care should a health care crisis occur.
The file below contains a form that you can use to create your own health care
directive.
Adobe
Acrobat Reader is required.
For the health care directive forms in other languages, select one of the following:
For questions about health care directives, visit the Minnesota Department of Health web site.