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Name: Date of Birth: Address:Care Decisions for the Last Days of Life Please use this document to record the decisions of the clinical team and the priorities of the ADULT patient and those important
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Provide accurate and complete personal information of the individual needing care.
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The care decisions form is a legal document used to outline the decisions and preferences of a person regarding their medical care and treatment in case they are unable to communicate their wishes.
Any adult who wants to make their medical care preferences known in case of incapacity should file a care decisions form.
To fill out a care decisions form, one must provide detailed information about their medical preferences, designate a healthcare proxy, and sign the form in the presence of witnesses or a notary public.
The purpose of a care decisions form is to ensure that an individual's healthcare preferences are respected and followed if they are unable to make their own decisions.
The care decisions form should include specific instructions on preferred treatments, healthcare wishes, organ donation preferences, and the designation of a healthcare proxy.
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