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Notes Advance Medical Directives Life Prolonging Procedures Declaration Name Date Executed Copies given to: ADVANCE MEDICAL DIRECTIVES LIFE PROLONGING PROCEDURES DECLARATION Bluffton Regional Medical

How to fill out life prolonging procedures declaration

How to fill out life prolonging procedures declaration:

1. Obtain the necessary form: Start by obtaining the life prolonging procedures declaration form from your local healthcare provider or legal office. You may also find it available online on government websites.
2. Read the instructions: Before filling out the form, carefully read the provided instructions. This will ensure that you understand the purpose of the declaration and the requirements for completing it correctly.
3. Personal information: Begin by providing your personal information, such as full name, date of birth, address, and contact details. It's important to provide accurate information to avoid any confusion in the future.
4. Healthcare proxy: In this section, you may be required to nominate a healthcare proxy or healthcare agent. This is an individual who will have the authority to make medical decisions on your behalf in the event that you cannot do so yourself. Provide their name, contact information, and make sure to discuss your wishes with them beforehand.
5. Medical treatments and procedures: This is the main section of the declaration where you will state your preferences regarding specific medical treatments or procedures. It may include options such as CPR (cardiopulmonary resuscitation), mechanical ventilation, tube feeding, organ donation, and more. Carefully consider each option and indicate your preferences clearly.
6. Witness and signature: Most life prolonging procedures declaration forms require witnesses to ensure their validity. Have the form signed in the presence of witnesses who are not beneficiaries or healthcare providers involved in your care. The witnesses should also sign the document and provide their contact information.

Who needs life prolonging procedures declaration:

1. Individuals with serious medical conditions: Anyone with a serious medical condition or terminal illness may want to consider filling out a life prolonging procedures declaration. This allows them to express their preferences for medical treatments and procedures in case they become unable to make those decisions in the future.
2. Older adults: As people age, the likelihood of facing medical situations where life-prolonging procedures may become necessary increases. Therefore, older adults may find it beneficial to have a life prolonging procedures declaration in place to ensure their wishes are respected.
3. Individuals seeking peace of mind: Even if you are healthy and not facing any immediate health concerns, having a life prolonging procedures declaration can provide peace of mind. It allows you to have control over your medical decisions and relieves the burden from your family or loved ones.

Remember, it is always recommended to consult with a healthcare professional or legal advisor when filling out a life prolonging procedures declaration to ensure that it aligns with your personal circumstances and legal requirements.

For pdfFiller’s FAQs

What is life prolonging procedures declaration?

Life prolonging procedures declaration is a legal document that outlines an individual's wishes regarding medical treatment in the event they are unable to communicate their own preferences.

Who is required to file life prolonging procedures declaration?

Any competent adult is able to file a life prolonging procedures declaration, but it is often recommended for individuals with serious health conditions or the elderly.

How to fill out life prolonging procedures declaration?

To fill out a life prolonging procedures declaration, individuals should consult with their healthcare provider and/or legal counsel to ensure their wishes are accurately reflected in the document.

What is the purpose of life prolonging procedures declaration?

The purpose of a life prolonging procedures declaration is to provide guidance for healthcare providers and family members when making medical decisions on behalf of an individual who is unable to communicate.

What information must be reported on life prolonging procedures declaration?

A life prolonging procedures declaration typically includes information about specific treatments a person wishes to receive or not receive, and who is authorized to make medical decisions on their behalf.

How can I send life prolonging procedures declaration to be eSigned by others?

Once you are ready to share your life prolonging procedures declaration, you can easily send it to others and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail, or notarize it online. You can do all of this without ever leaving your account.

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