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The card below may be used as a convenient method to inform others of your health care advance directives. Complete the card and cut it out. Place in your wallet or purse. You can also make copies
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Obtain a copy of the five-wishes-samplepdf document.
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Review each section of the document carefully.
03
Provide your personal information such as name, address, and contact information.
04
Make decisions about your medical and end-of-life care preferences.
05
Select a healthcare proxy and discuss your wishes with them.
06
Sign and date the document in the presence of witnesses.
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Keep the completed five-wishes-samplepdf in a safe and easily accessible place.

Who needs five-wishes-samplepdf?

01
Anyone who wants to communicate their end-of-life care preferences and medical decisions in a legally binding document.
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Individuals who want to appoint a healthcare proxy to make medical decisions on their behalf if they are unable to do so.
03
People who want to ensure that their wishes regarding medical treatment, comfort care, and end-of-life care are respected by healthcare providers and family members.
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The five-wishes-samplepdf is a document that outlines individual preferences for end-of-life care and personal directives in a simplified format.
Anyone who wishes to express their personal health care preferences and wishes regarding their end-of-life care should complete the five-wishes-samplepdf. It is advisable for adults over the age of 18.
To fill out the five-wishes-samplepdf, individuals should read each of the five wishes, provide their preferences for medical treatment and personal matters, and then sign and date the document to validate it.
The purpose of the five-wishes-samplepdf is to ensure that an individual's health care preferences are documented and respected in scenarios where they may be unable to communicate those preferences themselves.
The five-wishes-samplepdf requires information on personal health care preferences, a designated health care proxy, and wishes regarding treatment and comfort measures at the end of life.
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