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My Advance Care Plan Communicating My Healthcare Wishes Patient Protest Attachment If you wish to include the below statement in your Advance Care Plan (Advance Directive), a physicians' signature
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How to fill out my advance care plan
How to fill out my advance care plan
01
Begin by discussing your wishes and values with your loved ones.
02
Consider appointing a healthcare proxy or durable power of attorney to make decisions on your behalf if you are unable to do so.
03
Document your preferences for medical treatment and end-of-life care in the advance care plan form.
04
Review and update your advance care plan regularly to ensure it reflects your current wishes.
Who needs my advance care plan?
01
Anyone over the age of 18 should have an advance care plan in place.
02
Individuals with chronic illnesses, life-limiting illnesses, or terminal conditions should especially consider creating an advance care plan.
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What is my advance care plan?
Your advance care plan is a document that outlines your wishes for medical treatment in the event that you are unable to communicate them yourself.
Who is required to file my advance care plan?
You or your designated healthcare proxy are required to file your advance care plan.
How to fill out my advance care plan?
You can fill out your advance care plan by discussing your preferences with your healthcare provider and completing the necessary forms.
What is the purpose of my advance care plan?
The purpose of your advance care plan is to ensure that your healthcare wishes are followed if you are unable to make decisions for yourself.
What information must be reported on my advance care plan?
Your advance care plan should include information about your preferred medical treatments, end-of-life care wishes, and designated healthcare proxy.
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