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Advance Care
Planning Guide
A process to think about, talk about and plan for
lifethreateningillnessor endoflifecareNew HampshireAdvanceDirectives:
DurablePowerof Attorney for
Healthcare(EPOCH)
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How to fill out advance care planning guide

How to fill out advance care planning guide
01
Start by gathering the advance care planning guide form.
02
Begin by providing personal information such as name, date of birth, and contact details.
03
Identify your healthcare proxy or durable power of attorney for healthcare.
04
Specify your preferences for medical treatment and end-of-life care.
05
Discuss your values and beliefs regarding healthcare decisions.
06
Consider potential scenarios and indicate your choices for each situation.
07
Review and revise the document periodically to ensure it reflects your current wishes.
08
Share the completed advance care planning guide with your healthcare provider(s) and loved ones.
Who needs advance care planning guide?
01
Anyone who wants to ensure their medical treatment and end-of-life care align with their wishes.
02
Individuals with chronic or terminal illnesses.
03
Elderly individuals who have a higher risk of medical emergencies or deteriorating health.
04
Anyone who wants to relieve their loved ones from making difficult medical decisions on their behalf.
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What is advance care planning guide?
Advance care planning guide is a document that allows individuals to plan and communicate their preferences for medical treatment in the event they are unable to make decisions for themselves.
Who is required to file advance care planning guide?
Any individual who wants to ensure their medical preferences are known and followed should file an advance care planning guide.
How to fill out advance care planning guide?
To fill out an advance care planning guide, individuals can consult with their healthcare provider, discuss their preferences with loved ones, and document their wishes in the guide accordingly.
What is the purpose of advance care planning guide?
The purpose of an advance care planning guide is to ensure that an individual's preferences for medical treatment are known and respected if they are unable to communicate their wishes.
What information must be reported on advance care planning guide?
Information that must be reported on an advance care planning guide may include preferred medical treatments, healthcare proxy designations, and end-of-life care preferences.
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