Your Green Sleeve
A Green Sleeve is a plastic pocket that holds your important advance care planning forms. If you go to the hospital or a healthcare appointment, take your Green Sleeve with you. Be sure to bring it home.

The documents kept in Your Green Sleeve are:

  • Personal directive: (a legal document that allows you to name your agent (decision maker) and list the areas that this person can make decisions for you, e.g. healthcare or other events). A blank personal directive form comes with the Green Sleeve. If you already have your own personal directive, take out the blank form and replace it with yours. 

  • Goals of Care Designation (GCD): (are medical orders that describe the general and sometimes specific focus of a patient's desired care approach, harmonized with what is medically appropriate to provide).The Green Sleeve includes a blank GCD order form. This blank form is for your healthcare provider (doctor or nurse practitioner) to fill in. If you think you might need a GCD order, bring the blank form to your healthcare provider so you can talk about it. If your healthcare provider has already written your GCD order, take out the blank form and put your own GCD order in your Green Sleeve as the first page. 

  • Advance Care Planning/Goals of Care Designation Tracking Record: This comes with your Green Sleeve and is for your healthcare provider to fill in. Your healthcare provider uses this tracking form to write down conversations they have with you about your advance care plan and GCD. Keep it in your Green Sleeve as reference for all your healthcare providers.

How to manage your Green Sleeve:

  • At home keep your Green Sleeve on your fridge. Emergency responders (such as paramedics) are trained to look for personal medical information near your fridge. 
  • Keep only the most up-to-date documents in it so healthcare providers are clear on what your current wishes are.
  • Healthcare providers in all settings (such as the hospital) may ask if you have a Green Sleeve.

Helpful Links:

Click here to learn more about a Green Sleeve

Click on this link to learn more about Personal Directives

Click on this link to learn more about Goals of Care Designation

Click on this link to order a Green Sleeve