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Chase County Hospital×Clinic will not be held responsible or liable for any injury caused by my use of equipment provided for wellness or for my participation in the WELLNESS PROGRAM that is provided

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How to fill out Chase County Hospital/Clinic Will:

01

Start by gathering all necessary information, including personal details, medical history, and details about any assets or properties you wish to designate in your will.

02

Consider consulting with an estate planning attorney to ensure your will is legally valid and meets all the necessary requirements.

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Begin by clearly stating your name, address, and other identification details at the beginning of the will.

04

Clearly state your intentions regarding the Chase County Hospital/Clinic in your will. This may include designating specific medical treatments, appointing a healthcare proxy or power of attorney, or stating any donations or gifts you wish to make to the hospital or clinic.

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Identify any specific instructions or preferences you have regarding your medical care, including any treatments you wish to receive or avoid.

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If you have any specific individuals or family members you wish to designate as your healthcare proxy or decision-maker, clearly state their names and contact information in the will.

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Specify any preferences or wishes you have regarding end-of-life care or medical interventions.

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If you wish to make any financial contributions or donations to the Chase County Hospital/Clinic, clearly state the amount or assets you wish to allocate and provide instructions on how these contributions should be made.

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Sign and date the will in the presence of witnesses, following all legal requirements.

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Store your completed will in a safe place and inform your loved ones, healthcare providers, and any relevant individuals about its existence.

Who needs Chase County Hospital/Clinic Will:

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Individuals who have a strong affiliation or connection to the Chase County Hospital/Clinic may need to consider including it in their will.

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Patients who have received significant medical care or treatment at the Chase County Hospital/Clinic and wish to express gratitude or provide a charitable donation may need to include it in their will.

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Individuals who have a desire to support the ongoing operations, development, or research conducted by the Chase County Hospital/Clinic may need to consider including it in their will.

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