Healthcare Plan Templates

This document is used in Illinois to express an individual's wishes regarding medical treatment if they become unable to make decisions for themselves.

This document is used for applying for Cobra election.

This form is used for documenting the therapeutic care plan for medications.

This document provides information about advance directives, outlining what they are and why they are important. It also offers guidance on how to create and update advance directives.

This document is for individuals or organizations applying for a Certificate of Need in the state of Connecticut. It includes all the necessary forms and instructions for the application process.

This document is used for creating a shared plan of care for healthcare providers in Colorado. It helps coordinate and communicate the patient's care among various providers.

This document is used for submitting a governing board resolution for the Rural Hospital Planning and Transition Grant Program in Minnesota.

This Form is used for enrolling in Special Needs Basiccare (SNBC) in Minnesota.

This type of document is a sample treatment plan specifically for North Carolina. It outlines a structured plan for healthcare providers to address the needs of patients and guide their treatment and recovery.

This form is used for creating a plan of care in the state of New Jersey. It outlines the specific care needs and services required for an individual.

This document is a Diabetes Medical Management Plan specific to New Mexico. It outlines the necessary steps and guidelines for managing diabetes in individuals residing in New Mexico.

This form is used for creating a patient care plan in the United States Air Force. It is used to document the medical treatment and care plan for a specific patient.

This document is used to make decisions about life-sustaining treatment in Utah. It is a directive that ensures individuals receive the desired medical care and maintain their dignity in critical situations.

Use this form in the state of Florida for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

This form is used in Nebraska as part of the patient's medical records and determines health care measures to be taken in the event of the patient's mental or physical incapacity.

Use this form in the state of New Hampshire for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

Use this form in the state of Vermont for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

This form is used as part of the patient's medical records. It determines health care measures to be taken in the event of the patient's mental incapacity.

Fill out this Georgia document to state your wishes in regard to your health care treatment preferences in the event of a possible total disability.

Use this document, which is the patient's declaration - a written statement of what the patient expects to occur in the event of a serious accident or illness. It is primarily addressed for the medical personnel and focuses on the type of care the patient wishes to have in situations of terminal illness or incapacitation.

Download this Minnesota form to state your wishes in regard to your health care treatment preferences in the event of a possible mental disability.

This form allows an individual to clarify their wishes regarding their health care and treatment in case of their temporary or permanent incapacity.

Fill out this document if you reside in Ohio and wish to state your intentions in regard to your health care treatment preferences in the event of a possible mental disability.

Print out this will to pre-organize your health care in a potential scenario, prevent major arguments between your family members, control any necessary medical treatments and procedures and reduce potential extra medical bills in the state of Washington.

This document for creating a financial and medical plan in the state of Nevada. It helps individuals plan and organize their finances as well as outline their medical needs and preferences.

This document provides projections of national health expenditure for the years 2019 to 2028. It predicts how much money is expected to be spent on healthcare in the United States during this time period.

This Form is used for requesting data from the Ministry of Health in British Columbia, Canada, for evaluation and planning purposes. It allows individuals or organizations to access specific information for research or other purposes related to healthcare.

This document is for the Program of All-inclusive Care of the Elderly (PACE) in New Mexico. It is a long-term care medical assessment.

This Form is used for requesting home care services in Rhode Island.

This document is used to create a psychiatric advance directive (PAD) or crisis plan, specifically in the state of New Jersey. It provides instructions for individuals to outline their preferences for mental health treatment in the event of a crisis.

Residents of Colorado may use this form to provide permission for another party to make important medical decisions on behalf of the principal.

This type of form is used in Nebraska when a principal wants to give out powers to an agent with the legal rights to make medical decisions on the behalf of the principal.

Residents of New Jersey may use this type of form when a principal wants to create a back-up option regarding their treatment and have another individual be able to make specific choices concerning treatment.

This form is used in North Dakota and allows for a principal to delegate themselves an agent that will hold the legal right to make medical decisions concerning the principal in emergency situations.

This form gives a person in Utah the opportunity to select a medical representative that will be given rights concerning medical treatment and any relevant information that may be required after death.