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THE DECENTRALIZING WILL EXTENSIONDementia Living Will Extension of Date Your photo here2 2017, Empath Health, Rev 7/2017Table of Contents to Use the Dementia Living Will Extension.....................................................................

How to fill out dementia living will extension

How to fill out dementia living will extension

1. To fill out a dementia living will extension, follow these steps:
2. Read and understand the requirements and instructions for completing the dementia living will extension.
3. Gather all the necessary information and documents, such as your personal details, medical history, and any specific requests or instructions you have for your dementia care.
4. Start by providing your basic personal information, such as your name, address, and contact details.
5. Next, fill out the sections that require information about your medical history, including any known diagnoses or treatments related to dementia.
6. Clearly state your preferences regarding your dementia care, such as the use of specific medications, treatments, or procedures.
7. If you have any specific wishes about end-of-life decisions, make sure to include them in the appropriate sections.
8. Review your completed dementia living will extension form carefully to ensure accuracy and completeness.
9. Sign and date the form in the designated spaces.
10. Share a copy of the completed form with your healthcare provider, family members, and any other relevant parties.
11. Keep a copy of the filled-out form in a safe and easily accessible place for future reference.

Who needs dementia living will extension?

1. Dementia living will extension is beneficial for individuals who have been diagnosed with dementia or those who have a high risk of developing dementia in the future.
2. It is particularly useful for older adults who want to make sure their wishes and preferences regarding dementia care are known and respected.
3. Family members and caregivers of individuals with dementia can also benefit from having a dementia living will extension as it provides clear instructions and guidance for their loved ones' care.
4. It is advisable to consult with an attorney or legal professional to determine if creating a dementia living will extension is suitable for your specific situation.

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What is dementia living will extension?

A dementia living will extension is a legal document that allows individuals to outline their wishes regarding medical treatment and care if they are diagnosed with dementia.

Who is required to file dementia living will extension?

Any individual who wants to ensure that their wishes regarding medical treatment and care are followed in the event of a dementia diagnosis is encouraged to file a dementia living will extension.

How to fill out dementia living will extension?

To fill out a dementia living will extension, individuals should consult with a legal professional to ensure that all necessary information is included.

What is the purpose of dementia living will extension?

The purpose of a dementia living will extension is to provide individuals with the opportunity to express their preferences for medical treatment and care in the event of a dementia diagnosis.

What information must be reported on dementia living will extension?

Information that must be reported on a dementia living will extension may include preferences for medical treatments, care instructions, and designated decision makers.