Forms & Laws
ADVANCE DIRECTIVES FORMS AND LAWS
Click on the links below to download forms in a printable/viewable format. All forms are in Adobe Acrobat Reader.
- Living Will
- Medical Power of Attorney Form
- Combined Medical Power of Attorney and Living Will Form
- Mental Health Advance Directive
- 2020 revised Physician Orders for Scope of Treatment (POST) – SAMPLE
- Frequently Asked Questions Booklet
- Do Not Resuscitate (DNR) Insert
- Physicians Orders for Scope of Treatment (POST) Insert
ADVANCE CARE PLANNING FORMS AND TOOLS
- Assessing Decision-Making Capacity
- Decision-Making Capacity According to West Virginia Law
- Job Description for Medical Power of Attorney Representative and Healthcare Surrogate in West Virginia
- Mature Minor and Emancipated Minor
- Surrogate Selection Checklist
- Family Conversations - How to Talk with Your Family and Friends About Future Health Care Decisions
- Possible Directives for the Special Directives or Limitations section of the Living Will
WEST VIRGINIA HEALTH CARE LAWS
ADVANCE CARE PLANNING BULLETINS
- DHHR Obligation to Serve as Health Care Surrogate
- OHFLAC Memo Addressing DNR Issues
- Warning Against Special Directive Attachment