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LIFE PROLONGING PROCEDURES DECLARATION From Indiana Code 1636411Declaration made this day of, 20. I, being at least eighteen (18) years of age and of sound mind, willfully and voluntarily make known
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Obtain a copy of the life prolonging procedures declaration form.
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Read the form carefully and familiarize yourself with the information it requires.
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Fill in your personal details, including your full name, date of birth, and contact information.
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Provide information about your chosen healthcare agent, if applicable.
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Consider and answer the questions relating to your preferences regarding life prolonging procedures.
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Sign and date the declaration form.
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Make copies of the filled-out form for your personal records.
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Submit the form to the appropriate healthcare provider or legal authority, as instructed.
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Review and update the declaration periodically as necessary.

Who needs life prolonging procedures declaration?

01
Anyone who wants to have control over their medical treatment decisions in case they become unable to communicate or make decisions for themselves.
02
Individuals with specific medical conditions or advanced age might have a particular interest in having a life prolonging procedures declaration.
03
It is advisable for adults of all ages to consider having a life prolonging procedures declaration as part of their long-term healthcare planning.
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Life prolonging procedures declaration is a legal document that specifies a person's wishes regarding the use of life-sustaining medical treatments in the event they become incapacitated.
Any individual who is of legal age and deemed competent to make medical decisions can file a life prolonging procedures declaration.
A life prolonging procedures declaration can be filled out by completing a form provided by a healthcare provider or legal professional, and should be signed in the presence of witnesses.
The purpose of a life prolonging procedures declaration is to ensure that an individual's wishes regarding end-of-life medical care are known and respected.
The document typically includes specific instructions on whether to administer or withhold life-sustaining treatments such as CPR, mechanical ventilation, and artificial nutrition.
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