Get the free Your state-specific advance directive forms, which are the pages with the gray

ILLINOISAdvance DirectivePlanning for Important Health Care Decisions Cringing 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/6588898 Cringing, a program of the National Hospice

How to fill out your state-specific advance directive

How to fill out your state-specific advance directive

1. Obtain a copy of your state-specific advance directive form.
2. Read the instructions carefully to understand the requirements.
3. Gather the necessary information, such as your personal details, healthcare preferences, and chosen healthcare agent.
4. Begin by filling out your personal information, such as your name, address, and contact details.
5. Provide details about your healthcare agent, including their name, address, and contact information.
6. Indicate your healthcare preferences, such as whether you want life-sustaining treatments, organ donations, or palliative care.
7. Consider specifying your preferences for specific medical conditions or scenarios, such as end-of-life care or dementia.
8. Review the completed form thoroughly to ensure accuracy and completeness.
9. Sign and date the form in the presence of a qualified witness.
10. Make copies of the completed form and distribute them to your healthcare agent, family members, and healthcare providers.
11. Store the original document in a safe and easily accessible place, informing your healthcare agent and loved ones of its location.

Who needs your state-specific advance directive?

1. Anyone who is above the legal age and wants to have control over their healthcare decisions should have a state-specific advance directive.
2. It is particularly important for individuals with chronic illnesses, terminal conditions, or those who wish to designate a specific healthcare agent.
3. Having an advance directive ensures that your medical wishes are honored when you are unable to communicate or make decisions for yourself.
4. It is recommended for all adults, regardless of their current health status, to have a state-specific advance directive in place.

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What is your state-specific advance directive?

Each state has its own specific advance directive form that outlines end-of-life medical decisions.

Who is required to file your state-specific advance directive?

Any individual over the age of 18 is encouraged to have an advance directive, but it is not mandatory.

How to fill out your state-specific advance directive?

You can obtain the form from your state's Department of Health website or from a healthcare provider. It is important to carefully read and fill out the form with your wishes and preferences.

What is the purpose of your state-specific advance directive?

The purpose of an advance directive is to ensure that your medical wishes are followed in the event that you are unable to communicate them yourself.

What information must be reported on your state-specific advance directive?

Your advance directive should include information on who you appoint as your healthcare proxy, your preferences for medical treatments, and any specific instructions you have regarding end-of-life care.