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.

• HlthCareDir.pdf

For the health care directive forms in other languages, select one of the following:

• hmong hcd.pdf
• russian hcd.pdf
• somali hcd.pdf
• spanish hcd.pdf

For questions about health care directives, visit the Minnesota Department of Health web site.