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Quick Forms
Quick Forms
For a complete list in English and Spanish, visit the Forms link on this page.

Illinois Forms:
Do Not Resuscitate
Living Will
Healthcare Power of Attorney

Advance Care Directives

We all feel we have the right to make choices about our own health care.  Most of us will talk with our doctor about pros and cons of different treatment options first.  As a competent person, it is our right to agree to or refuse medical treatment.  This basic right is protected by law.

But what happens if a serious illness, injury, or permanent loss of mental abilities makes us unable to talk to our doctor about medical treatments we do or do not want?  At these times, it is hard for all of us as patients, family members, friends, doctors and nurses.   Who will make these decisions, if we can’t do it ourselves?  How can we make sure our wishes will be followed?  What happens if there are disagreements among those caring for us about treatment options?  How will they be settled?

You can answer some of these questions by filling out an Advance Directive for Healthcare.  This lets you continue to have a say in your own treatment.  An Advance Directive lets you plan ahead. You can make your wishes known. You can name someone who will see to it your wishes are followed.

CGH Medical Center follows Advance Directives as long as they meet requirements of Illinois Law.  Always bring your Advance Directive with you when you come to the hospital.  They can be copied and attached to your current medical record.

We encourage you and your family to complete an Advance Directive if you don’t have one.  Contact CGH at (815) 625-0400 or email us at info@cghmc.com for a free Advance Directive packet.

For FREE downloads and forms in English and Spanish, go to the State of Illinois website: Forms

More Illinois Forms:
Do Not Resuscitate
Living Will
Healthcare Power of Attorney


For more INFORMATION go to the State of Illinois website: 
Statement of Illinois Law on Advance Directives

Download our Chaplaincy Brochure here


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