Health Care Decisons
Planning for life’s uncertainties.
Preparing an Advance Care Plan
Making decisions about the end of your life can be both daunting and empowering. LifeTouch Health can help you make a plan before it’s needed. Completing this plan and informing others of your wishes can ensure that those wishes are honored – providing peace of mind for you, as well as clarity and comfort for your family.
Download and complete the forms from the Arkansas Department of Health (linked below).
Keep your Advance Care Plan in a safe, accessible place and share its location with trusted loved ones.
Create copies of your plan for yourself, your doctor, family members and potential caregivers.
Consult an attorney if you have any legal or estate concerns.
Download an complete the forms below to start your plan.
Acceptance of Surrogate Form
Advance Care Plan Form
Appointment of Health Care Agent
Physician Orders for Life-Sustaining Treatment (POLST) Directions and Form
These guidelines are provided for your convenience. For a more thorough plan, you should consult with your attorney. LifeTouch Health, Inc. does not assume responsibility for legal advice.