Request an Advance Care Planning Appointment

Complete the form below to request an appointment with an Honoring Choices Facilitator.

We respect your privacy.
The information that you provide via this website will be strictly confidential and is intended only for the use of Goshen Health in providing care and services to you.

( ) -
Preferred appointment time (required):

Do you have internet access and a device with video and audio capabilities? (required):

Do you need a interpreter? (required):

Enter security code:
 Security code

Advance care planning is for adults of all ages

Receive the medical care you want and ensure your loved ones know your wishes.
In the appointment, we’ll help you:

  • Create an advance care plan
  • Complete advance directives
  • Designate a health care representative

Invite a family member or close friend

Note, it is important to have a family member or close friend that will be involved with your health care decisions attend the appointment.

  • Where: virtual appointment via Zoom or in-person
  • Cost: Free, but an appointment is required
  • Questions: Call (574) 364-2288

Documents for end-of-life care

Written documents give clear instructions about the kind of care you want at the end of life. By writing down your wishes, you can help your loved ones and doctors understand and follow your choices. That’s important if you are unable to make decisions or communicate for yourself.