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ADVANCE DIRECTIVE FOR HEALTH CARE* (Tennessee)Instructions: Parts 1 and 2 may be used together or independently. Please mark out/void any unused part(s). Part 5, Block A or Block B must be completed

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How to fill out communicate your treatment choices

01

Start by understanding your treatment options. Research and gather information about different treatment choices that are available to you.

02

Consider your values and preferences. Think about what matters most to you when it comes to your treatment. Are there any specific goals or outcomes you hope to achieve?

03

Discuss your options with your healthcare provider. Schedule an appointment to talk about your treatment choices and ask any questions you may have.

04

Clearly communicate your treatment preferences. Make sure your healthcare provider understands your wishes and concerns.

05

Use appropriate communication tools. You can write down your treatment choices, use visual aids, or have a family member or friend help you express your preferences.

06

Review and update your treatment choices regularly. As your circumstances change or new treatments become available, it's important to revisit and revise your treatment decisions.

Who needs communicate your treatment choices?

01

Anyone who is facing medical decisions and wants to have a say in their treatment choices

02

Individuals with chronic conditions who may require ongoing treatment

03

Patients who want to ensure their healthcare providers are aware of their personal preferences and values

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What is communicate your treatment choices?

Communicate your treatment choices is a form used to inform medical providers of your preferred treatment options in case you become unable to communicate.

Who is required to file communicate your treatment choices?

Anyone who is of legal age and of sound mind can file communicate your treatment choices.

How to fill out communicate your treatment choices?

You can fill out communicate your treatment choices by providing your personal information, naming a healthcare proxy, and detailing your treatment preferences.

What is the purpose of communicate your treatment choices?

The purpose of communicate your treatment choices is to ensure that your medical preferences are known and respected in case you are unable to communicate them yourself.

What information must be reported on communicate your treatment choices?

Information such as your name, contact information, preferred healthcare proxy, treatment preferences, and any specific instructions must be reported on communicate your treatment choices.

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