Sentara Healthcare and the Sentara Center for Healthcare Ethics are offering the community the opportunity to complete their Advance Care Plan (Advance Directive) and register it, free of charge, with our national Advance Directive Registry through the U.S. Living Will Registry. Where ever you go in the United States your Advance Care Plan will be accessible by healthcare professionals when needed to guide your medical care if you are unable to communicate your wishes or make your own decisions.
(You will need a copy of Adobe Acrobat Reader
to view these files.)Advance Care Planning Guide
Please take the time to read this guide with information on Advance Care Planning in a question and answer format. Read additional information that may help you fill out your care plan.
- Let's Talk CPR
- Let's Talk Brain Death
- Let's Talk Breathing Machines
- Let's Talk Feeding Tubes Advance Care Plan If you wish to complete your Advance Care Plan (Advance Directive) online, you may do so, then save and print this form. Or if you wish, simply print the form and complete it by hand.Registration AgreementIf you already have an Advance Care Plan (Advance Directive and would like to have it registered, these forms contain a Registration Agreement and complete instructions on where to send your Advance Care Plan and to have it registered with the U.S. Living Will Registry. Print this form, complete it and follow the instructions on the information sheet. Learn more about the U.S. Living Will Registry.
Patient Protest Attachment
Use only if you want to give your Healthcare Agent the right to override your protest should you protest treatment decisions after being declared to lack decisional capacity by your physician. Call the Sentara Center for Healthcare Ethics at (757) 388-4263 if you need assistance or have more questions reference this provision.
For assistance in completion of your Advance Care Plan or to ask questions, please call the Sentara Center for Healthcare Ethics at (757) 388-4263 or contact the hospital chaplain at your nearest Sentara hospital.
North Carolina Advance Directive Documents
Advance Directive information for North Carolina residents.
The Sentara Center for Healthcare Ethics provides community service presentations to religious, spiritual or civic groups interested in learning more about Advance Care Planning. If you have any questions, please contact the center for assistance at (757) 388-4263.
For additional information on Advance Care Planning and additional resources, visit the American Medical Association site.