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Wisconsin 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 maker,
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How to fill out easy-to-read advance directives

How to fill out easy-to-read advance directives
01
Start by gathering all the necessary information and documents you will need to fill out the advance directives.
02
Begin by carefully reading through the advance directives form to understand its contents and purpose.
03
Fill in your personal information such as your name, address, date of birth, and contact details.
04
Clearly state your healthcare preferences and treatment wishes in easy-to-understand language.
05
Specify any medical conditions or allergies that healthcare providers should be aware of.
06
Think about appointing a healthcare proxy or agent who can make decisions on your behalf if you are unable to do so.
07
Sign and date the advance directives form, and have it properly witnessed or notarized as required by your state laws.
08
Keep copies of the completed advance directives in a safe and easily accessible place.
09
Review and update your advance directives periodically to ensure they reflect your current wishes and preferences.
10
Share copies of your advance directives with your healthcare providers, family members, and close friends.
Who needs easy-to-read advance directives?
01
Easy-to-read advance directives can be beneficial for anyone who wants to ensure their healthcare wishes are known and respected.
02
They are particularly useful for individuals with cognitive impairments, learning disabilities, or limited reading skills.
03
People who have language barriers or who prefer plain language documentation may also benefit from easy-to-read advance directives.
04
Common examples of individuals who may benefit from easy-to-read advance directives include elderly individuals, individuals with developmental disabilities, and non-native English speakers.
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What is easy-to-read advance directives?
Easy-to-read advance directives are legal documents that outline a person's wishes regarding medical treatment in the event they are unable to communicate.
Who is required to file easy-to-read advance directives?
Any adult individual is encouraged to fill out easy-to-read advance directives to ensure their medical wishes are known and followed.
How to fill out easy-to-read advance directives?
Easy-to-read advance directives can be filled out with the assistance of a medical professional or legal advisor, and should be signed in the presence of witnesses.
What is the purpose of easy-to-read advance directives?
The purpose of easy-to-read advance directives is to provide guidance to healthcare providers and family members when making medical decisions on behalf of a person who is unable to communicate.
What information must be reported on easy-to-read advance directives?
Easy-to-read advance directives should include information on preferred treatments, end-of-life care preferences, and the appointment of a healthcare proxy.
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