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Decide for Yourself: A Guide to Mental Health Advance Directives

This brochure (146 Kb English pdf file) informs patients about their rights under Act 194 of 2004, Mental Health Declarations and Powers of Attorney, and gives facts about what a mental health advance directive and mental health power of attorney are, how to make one, and what you need to consider in making one.

The brochure also provides information about obtaining sample mental health advance directive (declaration) and mental health power of attorney forms. These sample forms are available below for you to distribute along with the brochures.

Suggested uses include keeping copies of the brochures in waiting rooms and in admission packets.

The brochure can be ordered through HAP’s Member Services Department in bulk quantities. Please reference the specific order form below for complete information.



Decide for Yourself: A Guide to Mental Health Advance Directives - HAP Member order form
1 Page(s) / 200.40 Kb - Download time approximately 1.9 secs on a 1.0 mb connection
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Decide for Yourself: A Guide to Mental Health Advance Directives - Non-Member order form
1 Page(s) / 189.59 Kb - Download time approximately 1.8 secs on a 1.0 mb connection
Adobe Acrobat - Download a viewer for this attachment - How to Download
Mental Health Advance Directive (Declaration) Form
4 Page(s) / 35.00 Kb - Download time approximately 0.3 secs on a 1.0 mb connection
Microsoft Word - Download a viewer for this attachment - How to Download
Mental Health Power of Attorney Form
6 Page(s) / 39.00 Kb - Download time approximately 0.4 secs on a 1.0 mb connection
Microsoft Word - Download a viewer for this attachment - How to Download

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