West Virginians want their wishes respected and their pain controlled near the end of life. The Center for End-of-Life Care provides information to individuals and families so that they can make informed choices and receive the treatment they want.
Forms
WV e-Directive Registry
- E-Directive Registry Opt-In Form
- Release of Information Request for individuals and their legal health care representatives
- Release of Information Request for health care clinicians
Advance Directives
- Advance Care Planning Resource List
- Frequently Asked Questions and Forms
- WV Living Will
- WV Medical Power of Attorney
- WV Combined Living Will/Medical Power of Attorney
- WV Mental Health Advance Directive (MHAD)
- Advance Directive Revocation Form
Medical Orders
Other forms
Additional Resources
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Conversation resources
How to Talk to Your Doctor (English)
For the Conversation Guide in other languages, please visit https://theconversationproject.org/starter-kits/ -
Being a medical representative resources
Job Description for being a MPOA representative or health care surrogate -
Palliative Care resources
Palliative Care brochure
Palliative Care Resource List
For the most current information on palliative care, visit the Get Palliative Care website. -
Hospice resources
Hospice Services in the Nursing Home Facility brochure -
Grief and loss resources
For the most current information on grief and loss visit the National Hospice and Palliative Care Organization website at CaringInfo, the Pathways Center for Grief and Loss website, or call or visit the National 2-1-1 hotline for local resources.
for health care professionals (clinicians)
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Conversation resources
Why and How to have End-of-Life Discussions with Your Patients
The Ask-Tell-Ask Approach to Starting Conversations with Seriously Ill Patients -
Decision Making
Assessing Decision Making Capacity
Mature Minors and Emancipated Minors Authority to Make Medical Decisions
Health Care Decision Making for Adult Patients Flow Chart -
POST Program
Using the POST Form: Guidance for Health Care Professionals
Nursing Home Model Policy for the WV POST form -
Life-prolonging interventions
Annotated Bibliography of Evidence-Based Research on the Use of Feeding Tubes (updated August 2016)
Disclosure: The information and resources on this website are for general informational purposes only and not intended as legal or professional advice. While we strive to present information correctly, we make no guarantees of accuracy or completeness. Use of this information is at your own risk, and WV Center for End-of-Life Care is not liable for any outcomes. For specific advice, consult a qualified professional.