Making Healthcare Decisions

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Location

Inova Loudoun Surgery Center

571-209-6465
Fax: 703-729-8646

44035 Riverside Parkway
Suite 200
Leesburg, VA 20176
(Map and directions)

Hours
Monday – Friday
6 a.m. – 5 p.m.

Making End-of-Life Healthcare Decisions

Advance directives are important

None of us likes to think about how we would want healthcare delivered to us if we became critically ill or unable to communicate. But it is important to make these essential and very personal decisions – known as advance directives – before needing them.

Below are downloadable versions of Virginia Advance Medical Directive in eight languages and Medical Advance Directive forms in English for Virginia, Maryland, West Virginia and Washington, DC.

Complete and sign the form specific to your place of residence. Equally important, share this document with your family members and provide signed copies to your physicians for placement in your medical record.

Inova also offers downloadable versions of a helpful booklet, Your Right to Decide, in eight languages (see below). The booklet discusses advance directives and answers frequently asked questions.


The Importance of Advance Directives (Featuring J. Stephen Jones, MD, President and CEO, Inova Health System)

 

For Virginia patients

Notes for Virginia patients
Virginia patients with a mental health treatment history should complete the general Advance Directive form above AND a Mental Health supplement form.PDF icon

Virginia patients who may be pregnant at the time of their treatment may wish to complete an advance directive form that includes an optional “life prolonging procedures during pregnancy” provision. This form is available on the Virginia Hospital and Healthcare Association website.

For Maryland, DC and West Virginia patients

Your Right to Decide booklet

A helpful booklet containing general information about advance directives.

For caregivers providing care to patients at end of life

Review our online resources, coping techniques and other information that we hope is helpful at this stressful time.

Locations


Location

Inova Loudoun Surgery Center

571-209-6465
Fax: 703-729-8646

44035 Riverside Parkway
Suite 200
Leesburg, VA 20176
(Map and directions)

Hours
Monday – Friday
6 a.m. – 5 p.m.