Guides

Plain-language guides for care decisions

Short pages for older adults and their adult children. Large type. Sources at the bottom of each page. Nothing here replaces a talk with a clinician.

Watch the full series on YouTube: short, plain-language videos from Richard, an experienced nurse practitioner (NP) and critical care nurse.

For clinicians

Advance care planning toolkit: CPT 99497 and 99498. Time rules, documentation, modifier 33, the Medicare wellness-visit pairing, and the same patient handouts.

Living wills and health care powers of attorney are on the forms page.

Your state

Living will and health care power of attorney forms for your state.

All living will and health care power of attorney forms

Questions people ask

What are these guides?

They are short, plain-language pages about hospice and palliative care, DNR orders, POLST forms, and family conversations. A separate page is written for clinicians who bill Medicare advance care planning codes.

Are these pages medical or legal advice?

No. They are general education. They do not tell one person which treatment to choose, and they do not replace a state form. Talk with a doctor or care team about your own situation.

Where do I find my state's forms?

Living wills and health care powers of attorney are on the forms page. MOST, POLST, and DNR forms are on the provider forms page. These guides also show your state's links when we know where you are visiting from. A clinician has to sign a DNR or POLST.

Sources

These pages use public pages from agencies and national programs. They do not invent statistics.

  1. National Institute on Aging: What Are Palliative Care and Hospice Care?
  2. Medicare.gov: Hospice care coverage
  3. National POLST: Patient FAQs