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COMBINED ADVANCE DIRECTIVE FOR HEALTHCARE Part 1 PROXY DIRECTIVE (Durable Power of Attorney) If you wish, you may use this section to designate someone to make treatment decisions if you are unable
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How to Fill Out Combined Advance Directive:

01
Begin by gathering the necessary documents. You will need a combined advance directive form, which is typically available from your healthcare provider or state government website. Make sure you have a pen or pencil to fill out the form.
02
Start by providing your personal information. This may include your full name, address, phone number, date of birth, and any other identifying details required on the form.
03
Next, designate your healthcare agent. This individual will be responsible for making medical decisions on your behalf if you become incapacitated. Choose someone you trust, and be sure to include their full name, contact information, and a backup agent in case the primary agent is unavailable.
04
Specify your healthcare wishes. This section allows you to outline your preferences regarding medical treatments and end-of-life care. You may want to consider including instructions about life-sustaining treatments, organ donation, pain management, and any specific religious or cultural practices you wish to be respected.
05
Review and sign the form. Take your time to read through the entire document, ensuring that all the information you provided is accurate and reflects your true intentions. Once you are satisfied, sign the form and date it in the appropriate spaces.

Who Needs Combined Advance Directive:

01
Any adult who wants to have control over their medical decisions in the event of incapacity should consider having a combined advance directive. It is especially crucial for individuals with chronic or terminal illnesses, as well as those undergoing major medical procedures.
02
If you have specific medical wishes that you want to ensure are followed, a combined advance directive can provide clear instructions to healthcare providers and your designated healthcare agent.
03
Combined advance directives are also valuable for individuals who want to alleviate the burden and potential conflicts among their loved ones by explicitly outlining their medical wishes.
Remember, it is essential to consult with a lawyer or healthcare professional to ensure that your combined advance directive is legally valid and accurately reflects your intentions.
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Combined advance directive allows individuals to document their wishes regarding medical treatment and appoint a healthcare agent to make decisions on their behalf if they are unable to communicate.
Any individual over the age of 18 who wants to have their medical preferences documented and appoint a healthcare agent should file a combined advance directive.
Combined advance directive can be filled out by discussing medical preferences with a healthcare provider, appointing a healthcare agent, and signing the document in the presence of witnesses.
The purpose of combined advance directive is to ensure that an individual's medical wishes are known and respected in the event they are unable to make decisions for themselves.
Information such as preferred medical treatments, end-of-life care wishes, and the appointed healthcare agent's contact information must be reported on a combined advance directive.
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