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Main: 8663085888 Main: 866.308.5888 Fax: 817.632.3025 www.northtexasrespectingchoices.com North Texas Respecting Choices Referral Form Date: Patient Name: DOB: MPA/Family Member Name: Phone: Current
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North Texas Respecting Choices is a program that helps individuals make end-of-life care decisions and communicate their wishes to healthcare providers.
Any individual who wants to document their end-of-life care preferences and communicate them to their healthcare providers may participate in the North Texas Respecting Choices program.
To fill out North Texas Respecting Choices, individuals can attend workshops, use online resources, or request assistance from healthcare providers to document their end-of-life care preferences.
The purpose of North Texas Respecting Choices is to empower individuals to make informed decisions about their end-of-life care and ensure that their wishes are communicated and respected by healthcare providers.
Individuals must report their preferences for life-sustaining treatments, healthcare proxies, and other end-of-life care decisions on North Texas Respecting Choices.
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