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Patient Forms, Notices and Information

Medication List

St_joseph_facility_forms_medicationlistDownload a free Medication List from Providence to help reduce medication errors and prevent harmful drug interactions.Medication Lists help reduce medication errors and prevent harmful drug interactions.

Download this form, and list ALL medications you are currently taking (include prescription drugs, over-the-counter medications, vitamins, minerals, natural remedies, dietary supplements and herbals). Keep it with you always and share it with your health care providers at every visit.

Advance Directives

Advance Directives are documents that allow you to specify the kind of medical care you wish to receive at the end of your life. The first type of Advance Directive is called a Health Care Directive (commonly known as a Living Will). The second type is called a Durable Power of Attorney for Health Care. Both are contained in downloadable document below.

Your wishes do not necessarily need to be documented in an Advance Directive form. They may be documented by your physician in the medical record.

pdficon Advance Directives / Durable Power of Attorney

pdficon Предварительные распоряжения (Russian version)

pdficon Voluntades anticipadas (Spanish version)

pdficon Bản Chỉ Dẫn Trước (Vietnamese version)

Important Notices

pdficon Nondiscrimination Policy

pdficon Patient Rights & Responsibilities