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INSTRUCTIONS PRINT YOUR NAME YORK HEALTH CARE PROXY (1) I, hereby appoint: (name)PRINT NAME, HOME ADDRESS AND TELEPHONE NUMBER OF YOUR AGENT (name, home address and telephone number of agent) as my
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How to fill out advance care planning

01
To fill out advance care planning, follow these steps:
02
Start by understanding what advance care planning is and the different documents involved, such as living wills and healthcare proxies.
03
Reflect on your values and preferences for medical treatment and end-of-life care.
04
Discuss your wishes with your loved ones, healthcare providers, and legal advisors.
05
Choose a healthcare proxy – someone who will make medical decisions on your behalf if you become unable to do so.
06
Complete the necessary forms and documents, including your living will and healthcare proxy appointment.
07
Review and update your advance care planning regularly, especially if your circumstances or preferences change.
08
Share copies of your completed documents with your healthcare providers, loved ones, and keep them accessible in case of emergency.

Who needs advance care planning?

01
Advance care planning is important for individuals of all ages, especially those who want to have control over their medical treatment and end-of-life care.
02
Specifically, the following people may benefit from advance care planning:
03
- Adults who want to ensure their values and preferences are respected if they become unable to make decisions.
04
- Individuals with chronic or terminal illnesses who want to define their treatment options and comfort measures.
05
- Older adults who want to communicate their wishes regarding life-sustaining treatments or interventions.
06
- Anyone who wants to relieve the burden on their loved ones by clarifying their wishes in advance.
07
- Individuals who want to avoid unnecessary or unwanted medical interventions or procedures.
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Advance care planning is a process that helps individuals make decisions about their future medical care in case they become unable to make those decisions.
Advance care planning is not required to be filed, but it is recommended for all adults to complete.
Advance care planning can be filled out by discussing your values and preferences with your loved ones and healthcare providers, and documenting your wishes in an advance directive.
The purpose of advance care planning is to ensure that your healthcare wishes are known and respected if you are unable to communicate them yourself.
Advance care planning should include information about your healthcare preferences, values, and the types of treatments you do or do not want.
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