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N O R T H E R NA R I Z O N AH E A L T H C A RE Name: ___Date of Birth: ___Advance Care Planning Packet Northern Arizona Healthcare is committed to respecting our patients and their choices. Patient
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How to fill out advance care planning packet

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How to fill out advance care planning packet

01
Begin by gathering all necessary documents such as healthcare directives, power of attorney forms, and any other relevant medical details.
02
Consider your values, beliefs, and preferences for medical treatment in case of incapacitation.
03
Have a discussion with your loved ones about your decisions and make sure they understand your wishes.
04
Complete all forms in the advance care planning packet accurately and sign where required.
05
Make copies of the completed packet and distribute them to your healthcare providers, loved ones, and anyone else involved in your care.

Who needs advance care planning packet?

01
Anyone who wants to ensure that their medical treatment preferences are followed if they become unable to make decisions for themselves should have an advance care planning packet.
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The advance care planning packet is a set of documents that allow individuals to outline their healthcare wishes in the event that they are unable to make decisions for themselves.
Anyone over the age of 18 is encouraged to create an advance care planning packet, but it is particularly important for individuals with complex medical conditions or who are at risk of losing decision-making capacity.
To fill out an advance care planning packet, individuals should start by discussing their wishes with their healthcare provider, and then completing the necessary forms with details about their preferred treatments and surrogate decision-makers.
The purpose of an advance care planning packet is to ensure that an individual's healthcare preferences are known and respected, even if they are unable to communicate their wishes.
Information that must be reported on an advance care planning packet includes preferences for life-sustaining treatments, designated healthcare agents, and specific medical conditions or scenarios.
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