Get the free Advance Directive Wallet Card. - Mercy Health
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NOTICE: I have an Advance Directive. Name: My Patient Advocate: My Patient Advocate s phone number:
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How to fill out advance directive wallet card
How to fill out an advance directive wallet card:
01
Start by obtaining an advance directive wallet card. These can often be found online or obtained from your healthcare provider.
02
Begin by writing your full legal name on the designated space provided on the card. Make sure to write it clearly and legibly.
03
Next, enter your date of birth. This is crucial for proper identification.
04
Include your emergency contact information. This should include the name, phone number, and relationship of someone who should be contacted in case of an emergency.
05
Write down any allergies or medications that you are currently taking. This can be vital information for healthcare professionals in case of an emergency situation.
06
List any chronic health conditions or specific medical instructions that need to be known, such as the need for specific medications or treatments.
07
Indicate whether you have an advance directive in place. This could be a living will, a healthcare power of attorney, or any other legal document that outlines your healthcare preferences.
08
Lastly, make sure to sign and date the card. This indicates that the information provided is accurate to the best of your knowledge and is up to date.
Who needs an advance directive wallet card?
01
Individuals with chronic health conditions: If you have a chronic health condition, having an advance directive wallet card can be essential. It ensures that healthcare providers are aware of your specific needs and preferences in case of an emergency related to your condition.
02
Senior citizens: As we age, it becomes increasingly important to have a clear plan in place for our healthcare decisions. An advance directive wallet card can serve as a quick reference for medical professionals, making sure your wishes are respected.
03
Anyone with specific medical instructions or preferences: If you have specific medical instructions or preferences that differ from the typical standard of care, having an advance directive wallet card can help ensure these are followed in emergency situations.
04
Individuals without close family or designated healthcare agents: For those who do not have immediate family or designated healthcare agents, an advance directive wallet card can provide crucial information and instructions to healthcare providers who may be unfamiliar with your medical history or wishes.
By following these steps to fill out an advance directive wallet card and understanding who may benefit from having one, you can ensure that your healthcare preferences are known and respected, even in emergency situations.
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What is advance directive wallet card?
An advance directive wallet card is a card that contains information about an individual's advance directives, such as living wills and healthcare power of attorney.
Who is required to file advance directive wallet card?
Anyone who has completed an advance directive or healthcare power of attorney is encouraged to carry and file an advance directive wallet card.
How to fill out advance directive wallet card?
To fill out an advance directive wallet card, you need to provide information about your advance directives, including the type of directive and the contact information of your healthcare agent.
What is the purpose of advance directive wallet card?
The purpose of an advance directive wallet card is to ensure that healthcare providers and emergency personnel have access to important information about an individual's medical treatment preferences.
What information must be reported on advance directive wallet card?
Information such as the type of advance directives, the name and contact information of the healthcare agent, and any specific treatment preferences should be reported on an advance directive wallet card.
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