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Health Care Decision Making Worksheet Instructions Use this worksheet either to indicate current treatment preferences (which will be reflected in Maryland MOLST orders) or to clarify wishes for future
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How to fill out health care decision making
How to fill out health care decision making
01
Begin by understanding your own values and beliefs regarding healthcare and end-of-life decisions.
02
Choose a healthcare proxy or healthcare agent who will make decisions for you if you are unable to do so.
03
Communicate your healthcare wishes and preferences to your healthcare proxy, family members, and healthcare providers.
04
Consider completing an Advance Directive or Medical Power of Attorney form to legally document your healthcare wishes.
Who needs health care decision making?
01
Anyone who wants to ensure their healthcare preferences are respected if they are unable to communicate them.
02
Individuals facing serious illness or medical treatment decisions may benefit from establishing a health care decision-making plan.
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What is health care decision making?
Health care decision making is the process of making choices about medical treatment, care, and interventions for an individual who is unable to make those decisions themselves.
Who is required to file health care decision making?
Health care decision making documents are typically completed by an individual, known as the principal, who wants to appoint someone else, known as the agent or proxy, to make health care decisions on their behalf.
How to fill out health care decision making?
Health care decision making documents can typically be filled out by completing a form provided by a state-specific advance directive or through the assistance of an attorney.
What is the purpose of health care decision making?
The purpose of health care decision making is to ensure that an individual's preferences and wishes regarding medical treatment are known and followed, especially in situations where the individual is unable to communicate their wishes.
What information must be reported on health care decision making?
Health care decision making documents typically require information about the individual's medical preferences, the appointed agent or proxy, and any specific instructions or limitations regarding medical treatment.
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