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Simplified Advance Care Plan and Living Will (Optional) Basic information for patients and families complete a Texas Medical Power of Attorney form if you wish. There is no charge for this service.

How to fill out simplified advance care plan

How to fill out a simplified advance care plan?

1. Start by gathering all necessary information and documents. This may include your personal details, emergency contacts, primary care physician's information, any existing medical conditions or allergies, and a list of current medications.
2. Begin by clearly stating your healthcare preferences and wishes in the event that you cannot make decisions for yourself. This should include whether you would like life-sustaining treatments such as CPR, artificial nutrition, or breathing support.
3. Clearly express your wishes regarding pain management and comfort care. Specify if you have any preferences for specific medications or treatments to alleviate pain or discomfort.
4. Indicate your preferences regarding organ and tissue donation, if applicable. You can specify whether you wish to donate any organs or tissues, or if you do not wish to donate at all.
5. Consider appointing a healthcare proxy or durable power of attorney for healthcare. This person will make medical decisions on your behalf if you are unable to do so. Ensure that the person you choose is trustworthy and understands your wishes.
6. Review and update the advance care plan regularly. It is important to keep the plan current, especially if there are any changes in your health status or personal preferences.

Who needs a simplified advance care plan?

1. Individuals with chronic or terminal illnesses: Having a simplified advance care plan is crucial for individuals with chronic or terminal illnesses as it ensures their preferences for end-of-life care and treatment are respected.
2. Older adults: As individuals age, it becomes increasingly important to have a plan in place for end-of-life decisions. A simplified advance care plan helps older adults ensure their wishes are known and followed.
3. Individuals with specific healthcare preferences: If you have specific beliefs, cultural practices, or healthcare preferences, having a simplified advance care plan allows you to communicate these preferences clearly.

Remember, it is always advisable to consult with an attorney or healthcare professional to ensure your advance care plan meets all legal requirements and is properly executed.

For pdfFiller’s FAQs

What is simplified advance care plan?

Simplified advance care plan is a document that outlines an individual's preferences for medical treatment and end-of-life care in case they are unable to communicate their wishes.

Who is required to file simplified advance care plan?

Any individual who wants to ensure their medical preferences are known and honored in the event they are unable to communicate their wishes.

How to fill out simplified advance care plan?

Simplified advance care plans can be filled out by the individual themselves, with the assistance of a healthcare provider, or with the help of a legal professional.

What is the purpose of simplified advance care plan?

The purpose of a simplified advance care plan is to ensure that an individual's medical preferences and wishes are known and followed in case they are unable to communicate their wishes.

What information must be reported on simplified advance care plan?

A simplified advance care plan typically includes information on the individual's preferred medical treatments, end-of-life care wishes, appointed healthcare proxy, and any specific instructions for healthcare providers.

How can I send simplified advance care plan to be eSigned by others?

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