Advance Care Planning for Florida Members
Use these forms to help you with advance care planning. If you need help understanding some of the legal or medical language, check out our Advance Care Planning Cheat Sheet.
Your wishes for end-of-life care
Health Surrogate Form
Appoint someone to make healthcare decisions for you
Do Not Resuscitate
Let medical staff know you don't want CPR in an emergency.
Send Us Your Forms
Once your forms are all set, be sure to send us a copy
- Fax: 1-833-434-0535
Devoted Health – Enrollment
PO Box 211157
Eagan, MN 55121