You can choose to fill out a short advance directive form or a long one.
- The short form covers the basic information about who can decide about your health care. It also lets you decide what you want your providers to do in a medical emergency.
- The long form asks you for more details about what medical treatment you want.
If you want to, you can send your advance directive form and the Vermont Advance Directive Registry agreement form to the Vermont Advance Directive Registry. They will store it in a secure electronic database so that hospitals or other providers will have quick access to it in an emergency. Registration is free for Vermonters.
Keep a copy of the advance directive for yourself, your agent and your family. Then mail or fax the form to:
Vermont Advance Directive Registry
PO Box 2789
Westfield, NJ 07091
Fax: 908-654-1919
