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Vermont Advance Directive for Health Care Prepared by the Vermont Ethics Network, July 2011 EXPLANATION & INSTRUCTIONS You have the right to: 1. Name someone else to make health care decisions for
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How to fill out vermont advance directive for

01
To fill out Vermont Advance Directive form, follow these steps:
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Obtain a copy of the Vermont Advance Directive form.
03
Read the instructions carefully to understand the purpose and requirements of the form.
04
Provide your personal information, including your name, address, phone number, and date of birth.
05
Choose a healthcare agent, also known as a proxy, who will make decisions for you if you become unable to do so.
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Specify your preferences regarding medical treatment, end-of-life care, and organ donation.
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Review and sign the form in the presence of two witnesses, who must also sign the form.
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Consider informing your healthcare provider and loved ones about the completed Advance Directive form.
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Keep a copy of the form for yourself and provide copies to your healthcare agent, healthcare providers, and close family members.

Who needs vermont advance directive for?

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Anyone who is 18 years of age or older and is mentally competent can create a Vermont Advance Directive.
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It is recommended for individuals who want to ensure their healthcare decisions are respected and followed if they become unable to communicate or make decisions on their own.
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It is especially important for individuals with chronic illnesses, terminal conditions, or those who want to plan for their future medical care.
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The Vermont advance directive is a legal document that allows individuals to dictate their healthcare preferences in advance, in case they become unable to make decisions in the future.
Any adult individual in Vermont is encouraged to have an advance directive, but it is not mandatory to have one.
To fill out a Vermont advance directive, an individual can visit the Vermont Department of Health website to access the form and follow the instructions provided.
The purpose of a Vermont advance directive is to ensure that an individual's healthcare wishes are respected and followed, even if they are unable to communicate those wishes themselves.
A Vermont advance directive typically includes information about the individual's preferred healthcare treatments, designated decision makers, and end-of-life care wishes.
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