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Pennsylvania Advance Health Care Directive This form lets you have a say about how you want to be cared for if you cannot speak for yourself. This form has 3 parts: Part 1 Choose a medical decision

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How to fill out form advance care planning

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Start by gathering the necessary information, such as your personal details, emergency contacts, and any specific wishes or instructions you have for your medical care in the event that you are unable to communicate your preferences.

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Use a pen or computer to fill in the form with the requested information. Take your time and be as thorough as possible, providing accurate and detailed responses.

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If you have any doubts or questions, seek clarification from a healthcare professional or someone experienced in advance care planning.

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Who needs form advance care planning?

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Anyone who wants to have a say in their future medical care should consider filling out a form for advance care planning. This includes individuals who have specific medical conditions, older adults, people undergoing major surgery or treatment, and anyone who wants to ensure that their healthcare preferences are known and respected in the event that they are unable to communicate them.

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