Printable Patient Forms

UT Southwestern Medical Center offers several forms online so that patients may print and complete them prior to their hospital stay or clinical practice visit.

• Authorization to Disclose Protected Health Information (pdf)
• Directive to Physicians and Family of Surrogates (en Español) (pdf)
• Medical Power of Attorney (en Español) (pdf)
• Out-of-Hospital Do-Not-Resuscitate (DNR) Order (pdf)