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Advance Health Care DirectiveWASHINGTONLIFE CARE planning
my values, my choices, my carekp.org/lifecareplan60418811×Wall plans offered and underwritten by Kaiser Foundation Health Plan oftheNorthwest.
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How to fill out this advance health care
How to fill out this advance health care
01
Start by gathering all the necessary information and documents such as the patient's personal details, medical history, insurance information, and any specific instructions or preferences for their advance healthcare.
02
Review the advance healthcare form or document to understand its sections and requirements. This may include sections for designating a healthcare proxy, outlining healthcare treatment choices or preferences, and specifying end-of-life wishes.
03
Begin filling out the advance healthcare form by providing the patient's personal details, including their full name, date of birth, address, and contact information.
04
Proceed to fill in the medical history section, providing details about the patient's existing medical conditions, known allergies, past surgeries or treatments, and current medications.
05
If applicable, designate a healthcare proxy by providing their name, contact information, and any specific powers or limitations granted to them.
06
Explicitly state the healthcare treatment choices or preferences by indicating the desired medical interventions, limitations, or conditions for treatment continuation or withdrawal. This can include preferences for resuscitation, life support, palliative care, or organ donation.
07
Consider including any specific end-of-life wishes such as funeral arrangements, burial or cremation preferences, or religious or cultural rituals to be followed.
08
Carefully review the filled-out advance healthcare form for accuracy and completeness. Make any necessary revisions or additions to ensure clarity and coherence.
09
Once satisfied with the information provided, sign and date the advance healthcare form. If required, have the document witnessed or notarized as per legal or institutional requirements.
10
Share copies of the completed advance healthcare form with the patient's healthcare providers, family members or loved ones, healthcare proxy (if designated), and keep a copy for personal records.
11
Regularly review and update the advance healthcare form as necessary, especially in the event of significant changes in the patient's health status, preferences, or personal circumstances.
Who needs this advance health care?
01
Advance healthcare is essential for anyone who wants to have control over their medical treatment decisions, even if they are unable to communicate their preferences. It is particularly important for individuals with chronic or terminal illnesses, elderly individuals, or those at higher risk of medical emergencies.
02
Furthermore, people who wish to relieve their loved ones from the emotional burden of making difficult healthcare choices during times of crisis may also benefit from completing this advance healthcare form. Ultimately, having an advance healthcare plan in place can provide peace of mind and ensure that an individual's wishes regarding their healthcare are respected and followed.
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What is this advance health care?
Advance health care directives are legal documents that allow you to specify the type of medical treatment you would want in the event you are unable to communicate your wishes.
Who is required to file this advance health care?
Any individual who wants to ensure their medical wishes are followed in case they are unable to communicate them.
How to fill out this advance health care?
You can fill out an advance health care directive with the help of a legal professional or by using a template available online.
What is the purpose of this advance health care?
The purpose of an advance health care directive is to provide guidance to medical professionals and loved ones about your medical preferences in case you become incapacitated.
What information must be reported on this advance health care?
An advance health care directive typically includes information about the type of medical treatment you want or do not want, as well as the appointment of a health care proxy.
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