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Compassion & Choices Hospital Visitation Authorization 2020-2025 free printable template

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Hospital Visitation Authorization (Advance Directive Addendum) This form enables people not traditionally recognized as family members to gain priority visitation rights. Once completed and signed,
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How to fill out Compassion & Choices Hospital Visitation Authorization

01
Obtain the Compassion & Choices Hospital Visitation Authorization form from their website or a local chapter.
02
Read the instructions carefully to understand the purpose of the form.
03
Fill out the patient's full legal name at the top of the form.
04
Provide contact information for the patient, including address and phone number.
05
List the names and contact information of individuals authorized to visit the patient.
06
Sign and date the form to validate the authorization.
07
Ensure that the form is witnessed as required, if necessary.
08
Submit the completed form to the hospital where the patient is receiving care.
09
Keep a copy of the signed form for your records.

Who needs Compassion & Choices Hospital Visitation Authorization?

01
Anyone who wants to ensure that specific individuals can visit them or their loved ones in a hospital setting, particularly in cases of illness or incapacity.
02
Individuals who wish to control visitation rights during their hospital stay.
03
Patients who are concerned about not being able to see family or friends due to hospital policies.
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Compassion & Choices Hospital Visitation Authorization is a legal document that allows a designated person to visit and make decisions for a patient in a hospital setting, ensuring that the patient's wishes are respected in healthcare situations.
The patient or their legal representative is required to file the Compassion & Choices Hospital Visitation Authorization to designate individuals who will be allowed to visit or make decisions on their behalf in a hospital.
To fill out the Compassion & Choices Hospital Visitation Authorization, the patient must provide their name, the names of the designated visitors or decision-makers, and any specific instructions or preferences regarding healthcare decisions or visitation rights.
The purpose of the Compassion & Choices Hospital Visitation Authorization is to ensure that a patient’s rights to visitation and decision-making are upheld, particularly in situations where they may be unable to communicate their wishes.
The information that must be reported includes the patient's full name, the names and contact details of authorized visitors or decision-makers, the date of authorization, and any specific directives related to visitation or healthcare decisions.
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