Get the free My advance care plan form (bilingual version)

Simplified Chinese Farewell Wishes Advance Care Planning: A Values DirectiveAcknowledgementsCCCIS

How to fill out my advance care plan

How to fill out my advance care plan

1. Start by downloading a template for an advance care plan or creating your own.
2. Begin by providing your personal information, such as your name, date of birth, and contact details.
3. Decide on your healthcare preferences and the type of medical treatment you would want or not want in various scenarios.
4. Consider appointing a healthcare proxy or making a durable power of attorney for healthcare decisions to represent your wishes if you are unable to do so yourself.
5. Communicate your values, beliefs, and goals for medical care to ensure they are understood.
6. Specify any specific instructions regarding life-sustaining treatments, resuscitation, organ donation, and palliative care.
7. Review and revise your advance care plan regularly to ensure it reflects your current wishes and circumstances.
8. Keep copies of your advance care plan in easily accessible locations, such as with your healthcare provider, family members, and attorney.
9. Share your advance care plan with your healthcare provider, family members, and anyone else involved in your care to ensure they are aware of your desires and can follow them.
10. Consider discussing your advance care plan with your loved ones to ensure they understand your wishes and can advocate for you if necessary.

Who needs my advance care plan?

1. Anyone who is of legal age and is mentally capable should have an advance care plan.
2. Individuals with chronic illnesses or life-limiting conditions may find it especially important to have an advance care plan.
3. Older adults, particularly those who anticipate the possibility of cognitive decline or incapacity in the future, should have an advance care plan.
4. It is also a good idea for individuals who frequently travel or engage in risky activities to have an advance care plan in case of unexpected medical emergencies.
5. Ultimately, having an advance care plan is beneficial for anyone who wants to have a say in their medical treatment and ensure their wishes are respected.

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What is my advance care plan?

Your advance care plan outlines your medical treatment preferences in case you are unable to communicate them.

Who is required to file my advance care plan?

You are required to file your advance care plan with your healthcare provider.

How to fill out my advance care plan?

You can fill out your advance care plan by discussing your medical preferences with your doctor and completing the necessary forms.

What is the purpose of my advance care plan?

The purpose of your advance care plan is to ensure your medical wishes are followed in case you cannot communicate them.

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 wishes, and healthcare proxy.