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Health Care Decision Making Worksheet Instructions Use this worksheet either to indicate current treatment preferences (which will be reflected in
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How to fill out health care decision making

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How to fill out health care decision making:

01
Start by gathering important documents: Before filling out any health care decision-making forms, gather important documents such as your identification, health insurance information, and any advance directives or living wills you may already have in place.
02
Understand your options: Familiarize yourself with the different types of health care decision-making documents available. This may include a durable power of attorney for health care, a living will, or a health care proxy form. Understand the purpose and legal implications of each option.
03
Consult with your loved ones: Discuss your intentions and wishes with your loved ones, especially those who may be named as your health care decision-maker. It is important to have open and honest conversations about your values, beliefs, and preferences for medical treatment.
04
Choose a health care decision-maker: Determine who will make medical decisions on your behalf if you are unable to do so. This person should be someone you trust and feel comfortable discussing sensitive medical matters with. Consider selecting an alternate decision-maker as well.
05
Complete the necessary forms: Use the appropriate forms provided by your state or healthcare facility to officially designate your health care decision-maker and outline your medical preferences. Some forms may require witnesses or notarization, so follow the instructions carefully.
06
Keep copies and share with healthcare providers: After completing the forms, make copies for yourself and your designated decision-maker. Provide copies to your primary care physician and any other healthcare providers involved in your care. You may also want to keep a copy in a safe and easily accessible place, such as a designated folder or safe deposit box.

Who needs health care decision making?

01
Individuals with chronic illnesses: People with chronic or terminal illnesses may need to make important medical decisions regarding treatment options, end-of-life care, and other sensitive matters. Health care decision-making allows them to have a say in their medical care even when they are unable to communicate their wishes.
02
Elderly individuals: As individuals age, their health care needs may become more complex. Health care decision-making ensures that their preferences for medical treatment are known and honored in challenging circumstances.
03
Adults of all ages: It is prudent for all adults to have some form of health care decision-making in place, regardless of their current health status. Unexpected accidents or illnesses can occur at any age, making it crucial to have a designated decision-maker and clear medical preferences outlined in advance.
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