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Advance Care Planning for Ohio 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.

Living Will

Your wishes for end-of-life care

Health Care Power of Attorney

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: 1-877-264-3859
  • Mail:
    Devoted Health – Enrollment
    PO Box 211127
    Eagan, MN 55121