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Wishes for Health Care: Short Form1 Minnesota Health Care Directive2 See other side for completion directions Full Name: ___ Date of birth: 1. I appoint the following person to serve as my primary

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How to fill out short form advance health

01

Obtain a copy of the short form advance health directive.

02

Start by filling out your personal information including your full name, date of birth, and contact information.

03

Indicate who you would like to appoint as your healthcare agent or proxy.

04

Specify your healthcare preferences and any treatments you do or do not want in certain medical situations.

05

Sign and date the form in the presence of witnesses or a notary public.

06

Make copies of the completed form for yourself, your healthcare agent, and your healthcare providers.

Who needs short form advance health?

01

Anyone who wants to ensure their healthcare wishes are honored in case they are unable to make decisions for themselves.

02

Individuals with chronic illnesses or elderly individuals who may face medical emergencies.

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What is short form advance health?

Short form advance health, also known as SF-180, is a request for military records.

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Anyone who needs access to military records or information is required to file the short form advance health.

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The purpose of short form advance health is to request military records for personal, genealogical, or historical research purposes.

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The short form advance health typically requires information such as the requester's name, contact information, relationship to the individual being requested, and specific details about the records being requested.

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