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American Hospital Association's
Put It In Writing
(An advance directive is your life on your terms.)








 

• Hospital Patient Forms


All patient health information is regarded confidential and is accessible only to authorized persons. You will need Adobe Acrobat Reader to view and print forms.
Get Acrobat Reader by clicking on URL or image at the bottom of this page.

• Advance Directives

      Power of Attorney          Living Will

• Patient Health Information Access Forms

      Patient Authorization to Disclose Health Information

      Request for Patient Access to Health Information

• Organ and Tissue Donation

      www.organdonor.gov

     Nebraska Organ Recovery System

All forms are in Adobe Acrobat format. If you do not have Adobe Acrobat installed on your computer you can download the program free at:

http://www.adobe.com/products/acrobat/readstep.html

  

You will need Adobe Acrobat Reader to view and print forms.  Get Acrobat Reader by clicking on URL or image.



Phelps Memorial Health Center   •   1215 Tibbals Street   •   Holdrege, Nebraska   •   308-995-2211

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