Patient Self Determination Act

To protect the rights of our patients, we are required under the Patient Self-Determination Act of 1990 to provide you with written information regarding your rights to make decisions concerning your medical care. This includes the right to accept or refuse medical or surgical treatment and the right to formulate and present your wishes in an advance directive, such as a living will. Many people prepare an advance directive that outlines their wishes concerning medical treatment should they be incapacitated, and in a terminal condition or in a state of permanent unconsciousness. Throughout Susquehanna Health, advance directives and other formal methods for communicating your wishes are respected and encouraged. It is important that you or your designee present the hospital with a copy of your advance directive. You may withdraw your advance directive at any time by notifying the nursing staff or your physician.

This information provides you with our organization’s policies concerning your right to refuse treatment and the use of your advance directive.

Policy of Susquehanna Health

Advance directives and other formal methods for communicating the wishes of patients regarding their healthcare treatment are respected and encouraged throughout Susquehanna Health. The right of the patient to accept or refuse medical treatment, as contained within an advance directive, shall be recognized by all persons providing care for that patient. Susquehanna Health will honor a patient’s advance directive when, in accordance with Pennsylvania Law (20 Pa. C.S.A. 5405), the following conditions are met:

  1. A copy of the advance directive is provided to the attending physician.
  2. The patient is determined by the attending physician to be incapacitated and in a terminal condition or in a state of permanent unconsciousness.

If you would like more information about advance directives or a form that provides information, please call:

Social Services Department
Divine Providence Hospital - (570) 326-8137

Social Services Department
Williamsport Regional Medical Centerl - (570) 321-2151

Pastoral Care
Muncy Valley Hospital - (570) 546-8282

Questions and Answers on Advance Directives (reproduced with permission of Hospital Association of Pennsylvania Task Force on Advance Directives)