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Donation Record Format Name Organization Mailing Address Cityscape () Mobile () Home () BusinessPhoneZipEmailGoods Donated (Please check one & enter description) Tabletop treeWreathSwagGift BasketSilent

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How to fill out a legacy of life

01

Gather all important personal information such as full legal name, date of birth, and social security number.

02

Decide on the type of medical treatments you wish to receive or not receive in case of incapacity.

03

Choose a healthcare proxy or power of attorney to make medical decisions on your behalf if you are unable to do so.

04

Discuss your end of life wishes with your loved ones and healthcare providers.

05

Obtain the necessary forms for a legacy of life document and fill them out accurately.

06

Review and update your legacy of life regularly to reflect any changes in your preferences or circumstances.

Who needs a legacy of life?

01

Anyone who wants to ensure their end of life wishes are followed in case of incapacity or terminal illness.

02

Individuals with specific medical preferences or religious beliefs that they want respected during critical care.

03

Family members and loved ones who want to relieve the burden of making difficult medical decisions during a crisis.

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What is a legacy of life?

A legacy of life is a document that specifies an individual's wishes regarding organ donation and end-of-life care.

Who is required to file a legacy of life?

Anyone who wishes to express their wishes regarding organ donation and end-of-life care is encouraged to file a legacy of life.

How to fill out a legacy of life?

To fill out a legacy of life, individuals can visit their local Department of Health office or hospital to obtain the necessary forms and guidance.

What is the purpose of a legacy of life?

The purpose of a legacy of life is to ensure that an individual's wishes regarding organ donation and end-of-life care are respected and followed.

What information must be reported on a legacy of life?

A legacy of life typically includes information on organ donation preferences, medical treatment preferences, and end-of-life care instructions.

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