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Advance Directives Banner
Patient Rights & Responsibilities

Mercy St. Vincent Medical Center
2213 Cherry Street
Toledo, OH 43608
(419) 251-3232

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Mercy Children's Hospital
2213 Cherry Street
Toledo, OH 43608
(419) 251-8000
(419) 251-KIDS (5437)

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Mercy St. Charles Hospital
2600 Navarre Avenue
Oregon, OH 43616
(419) 696-7200

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Mercy St. Anne Hospital
3404 W. Sylvania Avenue
Toledo, OH 43623
(419) 407-2663

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Mercy Tiffin Hospital
45 St. Lawrence Drive
Tiffin, OH 44883
(419) 455-7000

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Mercy Willard Hospital
1100 Neal Zick Rd.
Willard, OH 44890
(419) 964-5000

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Mercy Defiance Hospital
1404 E. Second Street
Defiance, OH 43512
(419) 782-8444

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Advance Directives

Today, advances in medicine and medical technology save many lives that only 60 years ago might have been lost. Unfortunately, sometimes this same technology also artificially prolongs life for people with no reasonable hope of recovery.

No one likes to think about death and dying, but they are inescapable realities of life. Armed with the information and forms in the Ohio Choices, Living Well at the End of Life packet ( see below for what the packet includes) you can take control of choices regarding your medical future. And, by storing your advance directives with the U.S. Living Will Registry have those choices available when you need it, wherever you are. All forms must be printed, filled out and mailed via U.S. Mail to the addresses indicated. If you have questions, please call Mercy HealthLink at 419-251-4000 for assistance.

Ohio "Choices, Living Well at the End of Life" Advanced Directives Packet
U.S. Living Will Registry Agreement Form
U.S. Living Will Registry Website
Donate Life Ohio Website

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U.S. Living Will Registry

The registry is a nationwide free service that stores your Advance Directives (Living Will, Healthcare Power of Attorney, or both) electronically and makes it available 24 hours a day to healthcare providers across the country. Simply register your Advance Directives with the U.S. Living Will Registry by filling out the form above that gives the Registry permission to send copies to healthcare facilities. Your Advance Directives are stored by your social security number. You must register through a Member Health Care Provider or Community Partner. Mercy is a Member Health Care Provider and our source code is included on the printed form for your convenience.

"Choices, Living Well at the End of Life" Advance Directives Packet includes:

Ohio Living Will Declaration
The above packet includes the State of Ohio Living Will Declaration. The purpose of this declaration is to document your wish that life-sustaining treatment, be suspended if you are uable to make informed medical decisions and in a terminal condition or in a permanently unconscious state.

Donor Registry Enrollment Form
This is a form to be completed and filed with the Ohio Bureau of Motor Vehicles to ensure that your wishes concerning organ and tissue donation will be honored.

Ohio's Healthcare Power of Attorney
A HealthCare Power of Attorney is a document that allows you to name a person to act on your behalf to make healthcare decisions for you if you become unable to make them for yourself. You can have both a HealthCare Power of Attorney and a Living Will (Advance Directive).
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