
Get the free Advance Personal Plan form (pdf) - Northern Territory Government - nt gov
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DEPARTMENT OF THE ATTORNEY-GENERAL AND JUSTICE ADVANCE PERSONAL PLAN for a future where your health, financial and lifestyle wishes and opinions are heard and respected. www.advancepersonalplanning.nt.gov.au
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How to fill out advance personal plan form

How to fill out an advance personal plan form:
01
Start by carefully reading the instructions provided with the form. Make sure you understand the purpose and requirements of the advance personal plan.
02
Begin filling out the form by providing your personal details, such as your full name, date of birth, and contact information. It is essential to provide accurate information to ensure proper identification and communication.
03
Next, you may need to specify the reason or purpose for creating an advance personal plan. This could involve outlining any specific healthcare or personal preferences, living arrangements, or decisions regarding end-of-life care.
04
Consider appointing a healthcare proxy or power of attorney. This individual will be responsible for making medical decisions on your behalf if you become unable to do so. Provide their name, contact information, and a brief description of their responsibilities.
05
Evaluate your desired arrangements for healthcare treatment, including any specific treatments you may prefer or wish to avoid. Some forms may require you to provide instructions for life-sustaining treatments or organ donation preferences.
06
Specify your preferences for funeral or memorial arrangements, if desired. This may include burial or cremation preferences, funeral services, or instructions regarding organ donation.
07
After completing the necessary sections, carefully review the form, ensuring that all information is accurate and up to date. Double-check for any missing information or inconsistencies.
08
If required, sign and date the advance personal plan form in the designated area. Make sure to follow any additional instructions provided regarding witnesses or notarization.
Who needs an advance personal plan form?
01
Individuals who wish to have control over their healthcare decisions and personal preferences, especially in the event they become incapacitated or unable to communicate their wishes.
02
People who want to appoint a healthcare proxy or power of attorney to ensure their medical decisions align with their personal values and preferences.
03
Individuals with specific healthcare preferences, such as those who may want to document their wishes regarding life-sustaining treatments or end-of-life care.
04
Those who desire to provide clear instructions regarding the handling of their remains after death, including funeral or memorial arrangements and organ donation preferences.
05
It can be particularly important for individuals with chronic illnesses, critical health conditions, or those who want to have a say in their future medical treatments and care.
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What is advance personal plan form?
The advance personal plan form is a document where individuals can outline their preferences for medical treatment in the event they are unable to communicate their wishes.
Who is required to file advance personal plan form?
Anyone over the age of 18 is encouraged to complete an advance personal plan form, especially those with medical conditions or who are at risk of incapacitation.
How to fill out advance personal plan form?
You can obtain an advance personal plan form from your healthcare provider or online. Fill out the form with your preferences for medical treatment and appoint a healthcare proxy if desired.
What is the purpose of advance personal plan form?
The purpose of the advance personal plan form is to ensure that individuals receive medical treatment that aligns with their wishes, even if they are unable to communicate those wishes themselves.
What information must be reported on advance personal plan form?
The advance personal plan form typically includes information about the individual's medical history, current health status, preferences for medical treatment, and contact information for healthcare proxies.
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