Get the free Five Wishes

Name: Fillable Online Five Wishes Document Fax Email Print - pdfFiller
Brand: pdfFiller
Rating: 4.4 (27 reviews)

Get Form

Show details

The Five Wishes document is a legal form that allows individuals to express their preferences for medical treatment and designate someone to make healthcare decisions on their behalf. It covers personal,

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign five wishes

Edit your five wishes form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your five wishes form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing five wishes online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

Use the instructions below to start using our professional PDF editor:

1

Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.

2

Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.

3

Edit five wishes. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.

4

Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.

Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.

Learn more about security & compliance

How to fill out five wishes

01

Begin with the introductory page, providing your name and date of birth.

02

Fill out the first wish, specifying the type of medical treatment you do or do not want.

03

In the second wish, express who you want to make healthcare decisions on your behalf if you can't speak for yourself.

04

Complete the third wish by detailing your wishes regarding pain management and other comfort measures.

05

For the fourth wish, indicate your preferences for what you want to happen after you pass away.

06

Finally, in the fifth wish, share any other personal messages or wishes you want your loved ones to know.

Who needs five wishes?

01

Individuals who are seriously ill or aging and want to ensure their healthcare preferences are known.

02

Anyone who wants to communicate their end-of-life wishes clearly to family and healthcare providers.

03

People who wish to alleviate the burden of decision-making on their loved ones during difficult times.

Fill form : Try Risk Free

Rate the form

4.4

Satisfied

27 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

How can I send five wishes for eSignature?

Once you are ready to share your five wishes, you can easily send it to others and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail, or notarize it online. You can do all of this without ever leaving your account.

How do I edit five wishes online?

pdfFiller not only lets you change the content of your files, but you can also change the number and order of pages. Upload your five wishes to the editor and make any changes in a few clicks. The editor lets you black out, type, and erase text in PDFs. You can also add images, sticky notes, and text boxes, as well as many other things.

Can I edit five wishes on an Android device?

You can edit, sign, and distribute five wishes on your mobile device from anywhere using the pdfFiller mobile app for Android; all you need is an internet connection. Download the app and begin streamlining your document workflow from anywhere.

What is five wishes?

Five Wishes is a legal document that helps individuals outline their preferences for end-of-life care and other personal wishes.

Who is required to file five wishes?

Any adult who wants to express their healthcare preferences and ensure that their wishes are respected can fill out Five Wishes.

How to fill out five wishes?

To fill out Five Wishes, an individual should read the document, discuss their wishes with family and healthcare providers, and complete each section according to their preferences.

What is the purpose of five wishes?

The purpose of Five Wishes is to provide guidance for healthcare providers and family members regarding an individual's desires for medical treatment and personal care in times of serious illness.

What information must be reported on five wishes?

Five Wishes requires information such as the individual's name, healthcare preferences, appointment of a healthcare surrogate, and personal values regarding end-of-life care.

Fill out your five wishes online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now