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FORM 4|SamplePOLST forage 1Download a PDF version of this form at www.health.harvard.edu/ADforms. Each state that provides for physician orders for life sustaining treatment (POST) has its own form
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How to fill out advance care planning

01
Discuss your values and preferences with your loved ones.
02
Choose a healthcare proxy or spokesperson to make decisions for you if you are unable to do so.
03
Complete an advance directive form to document your wishes regarding medical treatment.

Who needs advance care planning?

01
Any adult over the age of 18 should consider advance care planning, especially those with chronic illnesses or older adults.
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Advance care planning is a process that helps individuals make decisions about the healthcare they would want to receive if they become unable to speak for themselves.
Advance care planning is recommended for all adults, but it is particularly important for those with chronic or serious illnesses.
Advance care planning can be filled out with the help of a healthcare provider, using forms that outline treatment preferences and goals of care.
The purpose of advance care planning is to ensure that an individual's treatment preferences are known and respected, even if they are unable to communicate them themselves.
Advance care planning typically includes details about preferences for life-sustaining treatments, organ donation, and appointing a healthcare proxy.
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