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Mental Health Supplement to Advance Directive Form

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All patients should fill out the general advance directive form, and patients with a mental health treatment history should also fill out a Virginia Advance Directive Supplement for Mental Health Conditions (download below).

By federal and state law, all patients have the right to determine what care they will receive and to appoint a durable power of attorney for healthcare decisions if for any reason they are unable to participate in decision making. The Virginia Advance Directive Supplement for Mental Health Conditions form provides written documentation of the patient's care preferences.

Detailed instructions and information guide

Virginia Advance Directive Supplement for Mental Health Conditions