# Physician Directive Agreement Contract
**This Physician Directive Agreement (the "Agreement") is made as of [Date], by and between [Physician's Name], M.D. (the "Physician"), located at [Physician's Address], and [Patient's Name] (the "Patient"), located at [Patient's Address].**
## 1. Purpose
The purpose of this Agreement is to outline the terms and conditions under which the Physician will provide medical care and treatment to the Patient, and to establish directives regarding the Patient's medical decisions.
## 2. Scope of Care
The Physician agrees to provide medical evaluation, treatment, and continuing care in accordance with the standards of practice within the medical community.
## 3. Patient's Rights
The Patient retains the right to:
- Obtain information about their condition and treatment options.
- Make decisions regarding their medical treatment.
- Refuse treatment after being informed of the consequences.
## 4. Directives
The Patient hereby provides the following directives regarding their medical treatment:
### 4.1. Advance Directives
The Patient's advance directives, including Living Will and Durable Power of Attorney for Healthcare (if applicable), are attached and incorporated herein.
### 4.2. Do Not Resuscitate (DNR) Orders
The Patient expresses their wishes regarding resuscitation and intends to communicate these wishes through a DNR order if applicable.
## 5. Confidentiality
The Physician agrees to maintain the confidentiality of all patient information as required by federal and state laws. The Patient gives consent for necessary information to be shared for the purpose of treatment, payment, or healthcare operations.
## 6. Term and Termination
This Agreement shall commence on the date first written above and will continue until terminated by either party with written notice.
## 7. Dispute Resolution
Any dispute arising from this Agreement shall be resolved through mediation before seeking other legal remedies.
## 8. Governing Law
This Agreement shall be governed by and construed in accordance with the laws of the State of [State].
## 9. Entire Agreement
This Agreement constitutes the entire understanding between the parties regarding the subject matter herein and supersedes all prior agreements and understandings, whether written or oral.
## 10. Amendments
Any amendments to this Agreement must be in writing and signed by both parties.
**IN WITNESS WHEREOF, the parties hereto have executed this Physician Directive Agreement as of the date first above written.**
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**Physician's Signature:** _________________________________
**Date:** _______________________________________________
**Patient's Signature:** _________________________________
**Date:** _______________________________________________
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**Witness (if necessary):** _______________________________
**Date:** _______________________________________________
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*This document is intended for informational purposes and should not be considered legal advice. Consult a legal professional for personal legal matters.*