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ADVANCE CARE PLANNINGHonoring health care choices:Your guide to advance
care planning. Making health care choices and choosing my patient advocate. Make your voice heard.
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How to fill out honoring health care choices

How to fill out honoring health care choices
01
To fill out Honoring Health Care Choices, follow these steps:
02
Start by gathering all necessary documents such as personal identification, health insurance information, and any advance directives or living wills you may already have.
03
Find a quiet and comfortable space where you can focus on the task at hand.
04
Begin by providing your basic personal information, such as your full name, date of birth, and contact details.
05
Next, specify your preferred language for receiving medical information and discussing treatment options.
06
In the next section, you will need to indicate your healthcare representative or healthcare agent. This is the person you trust to make medical decisions on your behalf if you become unable to do so.
07
It is important to have a discussion with your healthcare representative beforehand to ensure they understand your values, beliefs, and treatment preferences.
08
The following sections will require you to provide detailed instructions regarding the level of medical interventions you would like in different situations.
09
You may choose to check boxes for scenarios such as end-of-life care, resuscitation, artificial nutrition, and hydration.
10
Take your time to carefully consider each scenario and provide clear instructions according to your personal wishes.
11
Once you have completed all sections, review the form for accuracy and make any necessary changes.
12
Sign and date the document in the presence of two witnesses who are not named as your healthcare representative or alternate healthcare representative.
13
Keep a copy of the completed form for your records and provide copies to your healthcare representative, primary care physician, and any relevant family members.
14
Remember to periodically review and update Honoring Health Care Choices as your medical preferences may change over time.
Who needs honoring health care choices?
01
Honoring Health Care Choices is beneficial for individuals who want to have control over their medical treatment decisions.
02
It is particularly relevant for those who have specific treatment preferences or values that they want healthcare providers to honor.
03
Anyone over the age of 18 can benefit from filling out Honoring Health Care Choices, as unexpected medical situations can arise at any time.
04
It is especially important for individuals with chronic illnesses, life-limiting conditions, or individuals who have been diagnosed with a terminal illness.
05
By completing Honoring Health Care Choices, individuals ensure that their healthcare wishes are known and respected, even if they become unable to communicate or make decisions for themselves.
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What is honoring health care choices?
Honoring health care choices refers to the process of documenting and respecting an individual's preferences for medical treatment and end-of-life care.
Who is required to file honoring health care choices?
Individuals who are of legal age and have the capacity to make decisions are typically required to file honoring health care choices.
How to fill out honoring health care choices?
Honoring health care choices can be filled out by completing a form or document that outlines your preferences for medical treatment and end-of-life care.
What is the purpose of honoring health care choices?
The purpose of honoring health care choices is to ensure that an individual's wishes regarding medical treatment are respected and followed, especially in situations where they are unable to communicate their preferences.
What information must be reported on honoring health care choices?
Information that must be reported on honoring health care choices includes details about the individual's preferred medical treatments, end-of-life care preferences, and designated healthcare decision makers.
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