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Advance Super Terminal Medical Condition Claim Trustee: BT Funds Management Ltd (RTFM) ABN 63 002 916 458 ADSL 233724 GUIDE TO COMPLETING THIS FORM Complete this form using black pen print in clear
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Gather all necessary personal information such as name, date of birth, and contact details.
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Fill out the medical history section accurately, providing details of any existing conditions or past medical procedures.
03
List any medications that are currently being taken, including dosage and frequency.
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Include any relevant information regarding allergies or adverse reactions to medications.
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Fill out the emergency contact section, providing the names and contact details of individuals who should be contacted in case of a medical emergency.
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Who needs advance super terminal medical:

01
Individuals who have been diagnosed with a terminal illness and are in need of advanced medical care and support.
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Patients who require specialized treatment options and interventions to manage their terminal condition.
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Family members or caregivers who are responsible for the medical decisions and care of a terminally ill individual may also need advance super terminal medical resources to provide the best possible care.
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Advance super terminal medical is a form of advanced medical directive that outlines the medical treatment a person wishes to receive or not receive in the event that they become terminally ill.
Any competent adult can file an advance super terminal medical, but it is commonly recommended for individuals facing terminal illnesses or advanced age.
Advance super terminal medical can be filled out by consulting with a healthcare provider or an attorney to ensure that all necessary information is accurately captured.
The purpose of advance super terminal medical is to provide clear instructions to healthcare providers and family members regarding the individual's medical treatment preferences in the event of terminal illness.
On advance super terminal medical, individuals must report their desired medical interventions, preferences for end-of-life care, appointed healthcare proxy, and instructions for organ donation or burial.
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