Advance Directives Forms

An “advance directive” (also known as a “medi­cal directive”) is a legal document that states your wishes regarding life­support or other medical treatment in certain circumstances, usually when death is imminent. It allows you to put in writing ahead of time your wishes for medical care. If you ever become unable to communicate, your family and healthcare providers will know your wishes. Two advance directive forms are available for Rhode Island residents:

For more information, read our Advance Directives fact sheet.


Blue Cross & Blue Shield of Rhode Island is a Medicare Advantage organization with a Medicare contract.


Last updated: 10/16/2012