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AGREEMENT AND CONSENT FOR PSYCHOTHERAPY This agreement is between (client) and (therapist×, located at 1459 Oxford Rd., Ste. 301 Atlanta, GA 30307. Welcome to Living Fully Psychotherapy & Consulting
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How to fill out living fully consent form

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How to fill out a living fully consent form:

01
Obtain the form: Start by obtaining the living fully consent form from the relevant source. This could be a healthcare provider, legal professional, or a government agency.
02
Read the instructions: Carefully read the instructions provided with the form. These instructions will guide you through the process and highlight any specific requirements or considerations.
03
Provide personal information: Begin by providing your personal information accurately and completely. This usually includes your full name, address, date of birth, and contact information.
04
Specify preferences: The living fully consent form typically includes sections where you can specify your preferences regarding medical treatment and end-of-life decisions. Take your time to carefully consider and convey your wishes in these sections.
05
Appoint a healthcare proxy: Some living fully consent forms allow you to appoint a healthcare proxy or durable power of attorney for healthcare. This individual will have the authority to make medical decisions on your behalf if you are unable to do so yourself. If you wish to appoint someone, provide their full name and contact information.
06
Sign and date: Once you have completed all the necessary sections of the form, sign and date it in the designated areas. Ensure that your signature is legible and matches your legal name.
07
Witness or notarize: Depending on the requirements of the form, you may need to have your signature witnessed or notarized. Follow the instructions provided and arrange for the appropriate witnessing or notarization if necessary.
08
Distribute copies: Make copies of the filled-out and signed living fully consent form for your own records. It's also important to distribute copies to your healthcare provider, the appointed healthcare proxy (if applicable), and any other relevant individuals or organizations that may need this information.
09
Review periodically: It's advisable to periodically review and update your living fully consent form to ensure that it accurately reflects your current wishes and circumstances.

Who needs a living fully consent form?

A living fully consent form is essential for individuals who want to have a say in their medical treatment and end-of-life decisions. This form is particularly relevant for adults who are of sound mind and wish to document their preferences regarding healthcare options, resuscitation, pain management, organ donation, and other related matters. It is recommended that individuals consider completing a living fully consent form to ensure that their wishes are respected and followed, especially in situations where they may be unable to communicate their preferences. Consulting with a legal professional or healthcare provider can provide further guidance on whether a living fully consent form is appropriate for specific situations.
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Living fully consent form is a legal document that allows an individual to express their wishes regarding medical treatment and end-of-life care.
Any individual who wants to ensure their medical wishes are followed in the event they are unable to communicate them themselves.
Living fully consent form can be filled out by providing personal information, medical preferences, and signing the document in the presence of witnesses or a notary public.
The purpose of living fully consent form is to ensure that an individual's medical wishes are respected and followed in case they are unable to communicate them.
Information such as preferred medical treatments, end-of-life care wishes, and healthcare proxy designation must be reported on living fully consent form.
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