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Patient Resources

Resources & Information


Patient Forms

Do Not Resuscitate

Patient Portal

Glen Rose Medical Center provides patients access to specific health information via an online medical record. If you are admitted as an inpatient or observation patient at Glen Rose Medical Center, once you are discharged you will be able to view your medical records online.
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Pricing Transparency

Glen Rose Medical Center is committed to pricing transparency for our patients. We understand the importance of making pricing information available to our patients so they can better anticipate their financial responsibilities and make informed healthcare decisions.

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Advanced Directives

Advance directives are legal documents that allow you to convey your decisions about end-of-life care ahead of time. They provide a way for you to communicate your wishes to family, friends and health care professionals, and to avoid confusion later on.

  • Declaration for Mental Health Treatment —This document allows you to make decisions in advance about mental health treatment and specifically three types of mental health treatment: psychoactive medication, convulsive therapy and emergency mental health treatment. The instructions that you include in this declaration will be followed only if a court believes that you are incapacitated to make treatment decisions. Otherwise, you will be considered able to give or withhold consent for the treatments.
  • Directive to Physicians and Family or Surrogates Form — This form is designed to help you communicate your wishes about medical treatment at some time in the future when you are unable to make your wishes known because of illness or injury.
  • Medical Power of Attorney Form — Except to the extent you state otherwise, this document gives the person you name as your agent the authority to make any and all health care decisions for you in accordance with your wishes, including your religious and moral beliefs, when you are no longer capable of making them yourself.
  • Out-of-Hospital Do Not Resuscitate Information & Form (PDF)(link is external) — This form instructs emergency medical personnel and other health care professionals to forgo resuscitation attempts and to permit the patient to have a natural death with peace and dignity. This order does NOT affect the provision of other emergency care including comfort care.
  • Statutory Durable Power of Attorney — This form is for designating an agent who is empowered to take certain actions regarding your property. It does not authorize anyone to make medical and other healthcare decisions for you.

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