Port Huron Internal Medicine
  • Home
  • Services
  • About Us
  • Contact Us
  • PAY YOUR BILL
  • FORMS
  • More
    • Home
    • Services
    • About Us
    • Contact Us
    • PAY YOUR BILL
    • FORMS
Port Huron Internal Medicine
  • Home
  • Services
  • About Us
  • Contact Us
  • PAY YOUR BILL
  • FORMS

An advance directive is a document that lets you make your medical decisions in advance, in case you lose the ability to make them for yourself. It lists which medical treatments you want and authorizes someone you know and trust to make decisions for you based on your wishes.  There are two kinds of advance directives. You can choose either a durable power of attorney for health care or a living will. Michigan law doesn’t authorize living wills.  If you’re unable to make health care decisions for yourself, having an advanced directive on file will make sure that your wishes are carried out. When you create your advance directive, you’ll decide which medical treatments you’ll be allowed to have. You’ll also authorize someone to make decisions for you in case you’re unable to. This person will be your patient advocate. 


Tip: Advance directives are voluntary. It’s against the law for anyone to require you to create an advance directive to get health care

What you need to do...

  1. Talk with your doctor about the treatment decisions you might need to make in the future. Remember, an advance directive is voluntary. You don’t have to have one to receive health care.  
  2. Fill out the Patient’s Advance Directive form (PDF) in front of a witness. If you need to, you can write additional instructions on a piece of paper and attach it to the form. You don’t have to use our version of the form. You can also get advance directive forms from a local hospital or your attorney. You can use whichever version of the form you want. 
  3. Choose your patient advocate, someone you trust to work with your doctors to make decisions about your health care in your place.  
  4. Ask your patient advocate to accept their rights and responsibilities by signing the Acceptance by Patient Advocate form (PDF). 
  5. Fill out the Durable Power of Attorney for Health Care form (PDF) with your patient advocate and two witnesses. You don’t need a lawyer, but you may want to consult one. 
  6. Give a copy of your advance directive to your doctor, your patient advocate, your lawyer and anyone else who might need to know about your health care decisions—for example, a spouse, a nursing home or a hospital. Keep a copy of your advance directive in a safe place where it can be easily found. Also, by giving a copy to your doctor, you’ve made your advance directive a part of your medical records. 


For more information about advance directives, talk to your doctor or call customer service at the number on the back of your subscriber ID card, also known as enrollee ID card.

Downloads

acceptance-patient-advocate (pdf)Download
durable-power-attorney-health-care (pdf)Download
patient-advance-directive (pdf)Download
PHIM New Privacy Notice (docx)Download
PHIM payment policy (pdf)Download
PHIM Pt Phys Partnership Agreement (pdf)Download

Copyright © 2024 Port Huron Internal Medicine - All Rights Reserved.


Powered by GoDaddy

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept