Forms

Our Peace of Mind Box Checklist will help you gather and organize all important materials and documents to support your ongoing and final wishes. Having everything in one place will also help your loved ones in handling your affairs if necessary.

Make your wishes known and relieve your loved ones of difficult decisions in a stressful and emotionally charged situation by using the Funeral Planning Declaration and

Obituary Fact Sheet available here.

If you are unable to give instructions regarding your medical care in extreme situations, the Living Will Declaration provides guidance for family members and medical personnel.

Our Checklist of Documents Needed for a Medicaid Case is a checklist of documentation that is needed in order to complete a Medicaid application.

The Indiana Physician Orders for Scope of Treatment – POST provides medical professionals with your goals of care and desired medical interventions based on your current health situation. You may revise or revoke those directions when you have more information or if your health situation changes.

Peace of Mind Checklist (PDF)

Funeral Planning Declaration (PDF)

Obituary Fact Sheet (PDF)

Living Will Declaration (PDF)

Checklist of Documents Needed for a Medicaid Case (PDF)

Indiana Physician Orders for Scope of Treatment — POST (PDF)

A Message from Glenn A. Deig, Attorney at Law, regarding coronavirus (Covid-19)Click Here