Senior Health

Power of Attorney for Health care

The Power of Attorney for Health Care, or advanced directive, is a document that allows you to appoint someone to make your health care decisions if you become unable to make these decisions for yourself.

Forms and Instructions

Fill out form

Download the form, print it off and fill out the directive. When filling out the directive, read the forms carefully and follow all the steps. Attach extra pages if there isn't room to write all your wishes.

If you have difficulty printing out the form, please call the Aspirus Information Center at 715.847.2380 or 1.800.847.4707. 

Sign the Forms

Sign and date the forms in front of two witnesses not related to you and not a health care professional that is providing care for you. If you add pages, sign and date each page.  Write on the form the number of pages you've added.

Make Copies

Keep the forms you signed in a place where they can be found easily. Don't lock them in a safe-deposit box.

Give a copy to your agent and alternates, your doctors, and loved ones. Keep extra copies in case you go to a hospital or nursing home.

Mail or Fax a copy to Aspirus Wausau Hospital at:

Aspirus Wausau Hospital
Health Information Management
333 Pine Ridge Boulevard
Wausau, WI 54401
Fax:  (715) 847-2384