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Life Care Planning Packet
Advance Directives for Health Care PlanningOffice of the Attorney General of Arizona
Mark BrnovichMail completed forms to:
Arizona Secretary of State
Attn: Advance Directive
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How to fill out prehospital medical care directive

How to fill out prehospital medical care directive
01
Begin by obtaining a prehospital medical care directive form from your local healthcare provider or online.
02
Carefully read and understand the instructions on the form.
03
Provide your personal information such as your full name, date of birth, and contact details.
04
Specify your healthcare preferences and instructions in detail. This may include information on allergies, medications, or specific treatment preferences.
05
Indicate your wishes regarding resuscitation, life support, and other medical interventions.
06
Consider appointing a healthcare proxy or naming a medical power of attorney if desired.
07
Review the completed form and ensure all necessary information is included and legible.
08
Sign and date the form in the presence of at least one witness who is not your healthcare agent.
09
Provide copies of the completed directive to your primary care physician, attorney, and any relevant family members or close friends.
10
Keep the original document in a safe and easily accessible location, and inform your loved ones about its existence and whereabouts.
Who needs prehospital medical care directive?
01
A prehospital medical care directive is recommended for individuals who want to specify their healthcare wishes in the event of a medical emergency or incapacitation.
02
People facing chronic illnesses or terminal conditions may find it particularly important to have a prehospital medical care directive.
03
It is also beneficial for elderly individuals, those with significant medical histories, or anyone who wants to ensure their healthcare preferences are known and respected.
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What is prehospital medical care directive?
A prehospital medical care directive is a legal document that allows an individual to specify their medical wishes and preferences in the event that they become incapacitated and are unable to communicate.
Who is required to file prehospital medical care directive?
Any individual who wants to ensure that their medical preferences are followed in case of emergency or incapacitation is encouraged to file a prehospital medical care directive.
How to fill out prehospital medical care directive?
To fill out a prehospital medical care directive, one must consult with their healthcare provider, carefully consider their medical preferences, and complete the necessary paperwork according to state laws and guidelines.
What is the purpose of prehospital medical care directive?
The purpose of a prehospital medical care directive is to ensure that an individual's medical wishes are respected and followed even if they are unable to communicate due to incapacity.
What information must be reported on prehospital medical care directive?
A prehospital medical care directive typically includes information about the individual's preferred medical treatments, healthcare proxies, and do-not-resuscitate orders.
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