We can’t respect your choices for future medical care unless we know what they are. So, we are making it easier for you to tell us about your choices.
Martha Jefferson Hospital staff and physicians, utilizing a plan developed by Gundersen Lutheran Health Systems of LaCrosse, Wis., are cooperating to help you make plans for future medical treatment. We’re emphasizing your right to choose someone to speak for you if you’re ever unable to speak for yourself. We’re encouraging you to think about what treatments you do and do not want. We’re asking you to put your wishes about these things in writing. We’re filing your written plans in our Health Information (medical records) Department so they will be available if needed.
Martha Jefferson has collaborated with the University of Virginia Medical Center in creating this new edition of the advance medical directive.
See the spring issue of Martha Jefferson HealthNews for an article by Martha Jefferson Hospital’s clinically trained chaplain, Suzanne Hilton Smith, regarding important considerations when making advance medical directives.
Click on the link below to obtain a form that you can print out. You will need Acrobat Reader to view the file. If you do not have it, click the "Get Acrobat Reader" image below and you can obtain a free download. If you prefer or if you experience difficulty printing the form properly, we will mail the advance directive form to you. Email your request to info@mjh.org or call Martha Jefferson Health Connection at 434-982-7009 or toll free 1-888-652-6663.
• Advance Directive Form
|
