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.
- Complete the form.
- Have it notarized. (Notary services are free at most OMC locations.)
- 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