Health Care Advance Directives:
Your Right to Decide

Every competent adult has the right to make decisions concerning his or her own health, including the right to choose or refuse medical treatment. When a person becomes unable to make decisions due to a physical or mental change, such as being in a coma or developing dementia (like Alzheimer's disease), he or she is considered incapacitated. To make sure that an incapacitated person's decisions about health care will still be respected, the Florida legislature enacted legislation pertaining to health care advance directives (Chapter 765, Florida Statutes).

According to Florida's Agency for Heath Care Administration, the law recognizes the right of a competent adult to:

• make an advance directive instructing his or her physician to provide, withhold or withdraw life-prolonging procedures;
• designate another individual to make treatment decisions if the person becomes unable to make his or her own decisions;
• indicate the desire to make an anatomical donation after death.

What is an advance directive?

It is a written or oral statement about how you want medical decisions made should you not be able to make them yourself. It also can express your wish to make an anatomical donation after death. Some people make advance directives when they are diagnosed with a life-threatening illness. Others put their wishes into writing while they are healthy, often as part of their estate planning.

Three types of advance directives are:

• A Living Will (Open a PDF file of the form. Requires Adobe Acrobat.)
• A Health Care Surrogate Designation (Open a PDF file of the form. Requires Adobe Acrobat.)
• An Anatomical Donation

What is a living will?

It is a written or oral statement of the kind of medical care you want or do not want if you become unable to make your own decisions. It is called a living will because it takes effect while you are still living. You may wish to speak to your health care provider or attorney to be certain you have completed the living will in a way that your wishes will be understood.

What is a health care surrogate designation?

It is a document naming another person as your representative to make medical decisions for you if you are unable to make them yourself. You can include instructions about any treatment you want or do not want, similar to a living will. You can also designate an alternate surrogate.

What is an anatomical donation?

It is a document that indicates your wish to donate, at death, all or part of your body. This can be an organ and tissue donation to persons in need, or donation of your body for training of health care workers. You can indicate your choice to be an organ donor by designating it on your driver's license or state identification card (at your nearest driver's license office) or expressing your wish in a living will. Uniform donor forms are also available.

For more information:

• Mayo Clinic Outcomes Management, 904-296-4190
• Florida Agency for Health Care Administration (PDF)