NEW: Notice to the Individual Signing the Power of Attorney for Health Care - Download your free copy.
Frequently asked questions and power of attorney for health care form. This form meets the requirements of the Illinois Power of Attorney for Health Care Act.
A Personal Decision
The Illinois State Medical Society (ISMS) has published "A Personal Decision," which provides Illinois patients with practical information about determining future medical care.
Download your free copy of "A Personal Decision" (PDF version).
The advance directives booklet includes:
- The Statement of Illinois Law on Advance Directives from the Illinois Department of Public Health
- A Living Will Form
- Do-Not-Resuscitate Order
- Illinois Power of Attorney Act Official Statutory Form
- Illinois Official Statutory Declaration for Mental Health Treatment Form and Notification Card
- An Organ Donor Card
ISMS makes copies of the brochure available to the general public at no cost. ISMS physician members may receive up to 300 free print copies per year to distribute to their patients.
Hospitals, nursing homes and other health care facilities are required to disseminate information on advance directives to all new patients, and many of these facilities use “A Personal Decision.” ISMS makes special bulk orders of the brochure available to these organizations, with graduated price breaks based on quantity.
For additional information concerning ISMS’ “A Personal Decision,” please contact the ISMS Purchasing Department at 800-782-4767, or purchasing@isms.org.
Additional Resources
ISMS Tools for Members
Illinois Department of Public Health
National Institutes of Health