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Advance Directive:
Choosing My Patient Advocate
(Durable Power of Attorney for Health Care)
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How to fill out advance directive

How to fill out advance directive
01
Obtain an advance directive form from your state's department of health or from your healthcare provider.
02
Read the instructions carefully to understand the purpose and implications of an advance directive.
03
Fill out your personal information such as name, address, date of birth, and contact information.
04
Designate a healthcare proxy or healthcare power of attorney who can make medical decisions on your behalf if you are unable to do so.
05
Specify your preferences regarding medical treatments, life-support measures, organ donation, and end-of-life care.
06
Sign the document in the presence of witnesses as required by your state's laws.
07
Share copies of your completed advance directive with your healthcare proxy, family members, and healthcare providers.
08
Review your advance directive periodically and make updates as necessary.
Who needs advance directive?
01
Anyone above the age of 18 can benefit from having an advance directive.
02
Individuals with chronic illnesses or terminal conditions may particularly benefit from having their medical preferences documented.
03
Older adults who want to ensure their healthcare wishes are respected in the event they become unable to make decisions for themselves.
04
Individuals who want to designate a trusted person to make medical decisions on their behalf if they are incapacitated.
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What is advance directive?
An advance directive is a legal document that allows an individual to specify their preferences for medical treatment in the event they are unable to make their own decisions.
Who is required to file advance directive?
Any adult who wants to ensure their healthcare wishes are followed in case they become incapacitated is encouraged to file an advance directive.
How to fill out advance directive?
An advance directive can be filled out by contacting a lawyer, using online resources, or obtaining forms from healthcare providers. It is important to ensure the document is properly signed and witnessed.
What is the purpose of advance directive?
The purpose of an advance directive is to give individuals control over their medical treatment decisions and to provide guidance to healthcare providers and family members.
What information must be reported on advance directive?
An advance directive typically includes information about the individual's wishes regarding life-sustaining treatments, organ donation, and designated decision-makers.
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