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COVID-19 Resource Center / Patient and Family Resources / Medical Forms
Medical Forms
Completed Caregiver Contact Form
If your family or caregiver cannot be with you during your hospital stay, it is important to name who your care team should update about your care. This form lists the person that you want your care team to talk to about your care and treatment. It can be found in this guide, so be sure to bring it with you to your scheduled surgical procedure.
This document spells out your preferences for medical care in case you cannot speak for yourself. It also names your medical decision maker.
A medical decision maker can speak for you if you cannot speak for yourself. They can make sure your doctors know about the care you want. Let your medical decision maker know you chose them before your surgical procedure.
Ensure you complete everything you need to do before your procedure with this checklist.