Knoxville Orthopaedic Surgery Center

Patient Resources

Notice of Policy Regarding Advanced Directives

Knoxville Orthopaedic Surgery Center (KOSC) requires that the following notice be reviewed by each patient prior to a scheduled procedure in order to comply with federal and state laws and rules regarding Advance Directives. Advance Directives can be statements that indicate the type of medical treatment an individual does or does not want if he/she is unable to make those determinations or they can authorize others to make medical decisions for them if they are unable to do so.

In Tennessee, patients have several options for making Advance Directives:

Advance Care Plan (or Living Will)

These generally state the type of medical care an individual wants or does not want if he/she becomes unable to make his/her own healthcare decisions.

Appointment of HealthCare Agent (or Durable Power of Attorney for Health care)

These forms allow an individual to name someone to make healthcare decisions for him/her if he/she becomes unable to make healthcare decisions.

If you do not currently have an Advance Care Plan but would like to review the forms, please see link below. Please note that if bringing these forms to KOSC the day of your surgery, they will need to be signed and witnessed or notarized prior to your arrival. Download the forms

At KOSC, if an adverse event occurs during your treatment, the medical team will initiate resuscitative or other stabilizing measures and will then transfer you to an acute care facility for further treatment or evaluation. It is still important that you provide the center with a copy of your Advance Directives as it will be sent with you in the event of a transfer. A copy will be maintained in your KOSC record.

During the admission process, you will be required to sign the notice of policy regarding Advance Directives, indicating that you understand the Center’s policy regarding resuscitative efforts.


256 Fort Sanders West Blvd • Building 8 • Knoxville, TN 37922 • 865-244-4580