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Choices for Care Vermont Longer Care MedicaidEmployer Handbook Consumer and Surrogate Directed Services Revised July 2014 This information is important. If you do not understand it, take it to your
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How to fill out consumer and surrogate directed

How to fill out consumer and surrogate directed?
01
Start by obtaining the necessary forms. These forms can usually be found on the website of your state's Department of Health or equivalent agency. Make sure you have the correct version of the forms for your specific needs.
02
Begin by filling out the consumer directed section. This section is typically completed by the individual who will be receiving the services. Provide accurate and detailed information about your personal preferences, needs, and any specific requests or instructions.
03
Next, move on to the surrogate directed section. This section is completed by the designated surrogate, who will make decisions on behalf of the consumer if they are unable to do so themselves. Provide the surrogate's contact information, relationship to the consumer, and any specific instructions or limitations on their decision-making authority.
04
Review the completed forms thoroughly. Ensure that all information is accurate and up to date. If you have any doubts or questions, seek assistance from a legal professional or a representative from the relevant agency.
05
Sign and date the forms as required. Some forms may require additional witnesses or notarization, so make sure to follow the instructions provided.
06
Keep a copy of the completed forms for your records. It's also a good idea to share copies with trusted family members, healthcare providers, and any other relevant individuals involved in the consumer's care.
Who needs consumer and surrogate directed?
Consumer and surrogate directed forms are typically needed by individuals who require assistance or care due to health conditions, disabilities, or limitations but want to retain control over their decision-making and preferences. These forms allow the individual to outline their wishes and select a trusted surrogate who can make decisions on their behalf if they become incapacitated.
Some common examples of individuals who may need consumer and surrogate directed forms include:
01
Elderly individuals who want to ensure that their preferences for medical treatments and end-of-life care are respected.
02
Individuals with chronic illnesses or disabilities who may require ongoing care and support and want to have a say in their treatment plans.
03
Those with developmental disabilities who want to specify their preferences for living arrangements, day-to-day activities, or medical interventions.
Consumer and surrogate directed forms can provide peace of mind to both the individual receiving care and their loved ones, as they ensure that the person's wishes are known and respected, even if they are unable to communicate or make decisions themselves.
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What is consumer and surrogate directed?
Consumer and surrogate directed is a form that allows individuals to indicate who will make decisions on their behalf if they are unable to do so themselves.
Who is required to file consumer and surrogate directed?
Any individual who wants to designate a surrogate decision-maker or provide instructions for their own care in the event of incapacity is required to file consumer and surrogate directed.
How to fill out consumer and surrogate directed?
Consumer and surrogate directed can typically be filled out by providing personal information, naming a surrogate decision-maker, and specifying any preferences or instructions for healthcare decisions.
What is the purpose of consumer and surrogate directed?
The purpose of consumer and surrogate directed is to ensure that individuals have a say in their healthcare decisions and designate someone to make decisions on their behalf if necessary.
What information must be reported on consumer and surrogate directed?
Consumer and surrogate directed typically includes personal information, the name of the surrogate decision-maker, and any specific healthcare preferences or instructions.
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