Advance Directives

Having an advance healthcare directive helps make sure your wishes are followed if you cannot speak for yourself. This written document explains what kinds of care you would or would not want and allows you to name a trusted person—called an agent—to make medical decisions for you.

Anyone 18 or older can complete an advance healthcare directive. Forms are free at any Olmsted Medical Center (OMC) location or can be downloaded below.

Why an Advance Healthcare Directive Matters

If you do not have a healthcare directive and are unable to make your own healthcare decisions, someone else—such as a provider, family member, or emergency contact—will make those decisions for you.

At OMC, we encourage all patients to take an active role in their care. Talking with your primary care provider about your wishes can help ensure they are respected.

How to Complete Your Directive

OMC offers two versions of the healthcare directive, including an abbreviated option.

  1. Complete the form.
  2. Have it notarized. (Notary services are free at most OMC locations.)
  3. Give the completed form to your primary care provider or OMC’s Social Services team to include in your medical record.

Need Help?

To learn more about creating or filing your advance healthcare directive, contact OMC’s Social Services Department at 507.529.6806.

For questions about consent forms, contact Health Information Management (HIM):

  • Phone: 507.287.2752
  • Fax: 507.287.2777
  • Hours: Monday–Friday, 8:00 AM–4:30 PM (except holidays)
  • Mailing Address:
    Olmsted Medical Center
    Attn: Health Information Management
    PO Box 4300
    Rochester, MN 55903-4300

Related Documents

Please fax completed consent forms to OMC’s Health Information Management Department at 507.287.2777.

Healthcare Directives

Healthcare Directives brochure (English) [PDF]

Healthcare Directives brochure (Spanish) [PDF]

Checklists

Checklist for Completing Healthcare Directive (English) [PDF]

Checklist for Completing Healthcare Directive (Spanish) [PDF]

Consent Forms

Consent – Healthcare Directive (English) [PDF]

Consent – Healthcare Directive (Spanish) [PDF]

Consent – Healthcare Directive (Somali) [PDF]

Consent – Healthcare Directive, Abbreviated Version (English) [PDF]

Consent – Healthcare Directive, Abbreviated Version (Spanish) [PDF]

Consent – Healthcare Directive, Abbreviated Version (Somali) [PDF]

Advance Directive Checklists

Advance Directive Checklist (English) [PDF]

Advance Directive Checklist (Spanish) [PDF]

Advance Directive Checklist (Somali) [PDF]

Organ, Tissue, and Eye Donation

Organ, Tissue, and Eye Donation – Questions and Answers (English) [PDF]

Organ, Tissue, and Eye Donation – Questions and Answers (Spanish) [PDF]

Learn more or register to be a donor at RegisterMe.org/OlmstedMedicalCenter