Skip to Content

Advance Directives

Download Advance Directives Form


Advanced care directives are specific instructions, prepared in advance, that are intended to direct a person's medical care if he or she becomes unable to do so in the future.

Alternative Names

Power of attorney for Healthcare; DNR; Do not resuscitate; Living will


Advanced care directives allow patients to make their own decisions regarding the care they would prefer to receive if they develop a terminal illness or a life-threatening injury. Advanced care directives can also designate someone the patient trusts to make decisions about medical care, if the patient becomes unable to make (or communicate) these decisions.

Federal law requires hospitals, nursing homes, and other institutions that receive Medicare or Medicaid funds to provide written information regarding advanced care directives to all patients upon admission.

Advanced care directives can reduce:

  • Personal worry
  • Futile, costly, specialized interventions that a patient may not want
  • Overall health care costs
  • Feelings of helplessness and guilt for family
  • Legal concerns for everyone involved

However, advanced care directives cannot predict what situations may arise in the future or what new modes of care may be available for situations considered nearly hopeless today.


The process of creating advanced care directives may be difficult. It requires you to think about your priorities regarding quality of life and your death. Treatment options, and their possible influence on your quality of life, need to be fully understood and considered. Know the potential implications of choosing or refusing specific forms of care.

Discuss your wishes regarding advanced care directives with your health care providers, family members, and friends. Review your wishes from time to time to remind everyone.

Download Form

The State of Maryland offers a form to do this planning. The form as a whole is called "Maryland Advance Directive: Planning for Future Health Care Decisions." This publication also includes a frequently asked questions section (pp. 5-6) that you may also find informative.

Online Bill Pay

Use our online bill payment form to pay your hospital bill via credit card at your convenience.

Pay My Bill

Patient Pre-registration

For your convenience, online patient pre-registration is now available for certain hospital services.

Pre-register Online

Billing Questions?

Have billing questions or in need of further assistance? Please view our Frequently Asked Questions or call 301-315-3660 to be connected with a Patient Service Representative. 

Classes & Events

Find health-related activities near you!

  • Dec
    10:30 AM - 12:30 PM
    If you are feeling overwhelmed by your new role, having difficulty making it through your day, or simply would like to connect with other new moms and their babies, please join us for a FREE ongoing weekly support group for moms.
  • Dec
    8:00 AM - 9:30 AM
    Adventist HealthCare and Westfield Montgomery Mall have teamed up to promote healthy and active lifestyles in our community via our Adventist HealthCare Walking Club.
  • Dec
    12:30 PM - 2:00 PM
    This group is available to all persons who share a cancer experience - current patients, survivors, care givers, family and friends.

Tobacco Free Campus

Adventist HealthCare Shady Grove Medical Center became a tobacco free campus on November 15, 2007.