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Advance Care Planning for Texas 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.


Directive to Physicians and Family or Surrogates

Your wishes for end-of-life care


Medical 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