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14AAdvance Decision to Refuse Treatment (ART) Information for people with or affected by motor neuron disease Please note this sheet includes sensitive information about end of life decisions. With

How to fill out advance decision to refuse

How to fill out an advance decision to refuse:

1. Gather the necessary documents: You will need a copy of the advance decision form, your personal details, and information about the medical treatments you want to refuse.
2. Fill out your personal details: Provide your full name, date of birth, address, and contact information. This ensures that your advance decision can be easily identified and honored.
3. Specify your treatment preferences: Clearly state the medical treatments or procedures that you wish to refuse. This can include specific medications, surgeries, resuscitation, or life-sustaining interventions.
4. Be clear and specific: Clearly communicate your wishes and preferences to avoid any ambiguity. Use concise language and avoid general terms such as "do everything possible," as this may not give clear guidance to healthcare professionals.
5. Consider different scenarios: Think about various medical situations that may arise and provide instructions on how you would like healthcare providers to proceed. For example, you may address situations where you are unable to communicate or unable to make decisions for yourself.
6. Date and sign the document: Once you have completed filling out the advance decision form, carefully read through it to ensure everything is accurate and reflects your wishes. Sign and date the document in the presence of a witness who is not a family member or beneficiary of your estate.

Who needs an advance decision to refuse?

1. Individuals with specific medical treatment preferences: People who have clear preferences regarding the medical treatments they wish to refuse or avoid in the future should consider creating an advance decision to refuse.
2. Those with specific healthcare wishes: If you have specific wishes regarding resuscitation, life-sustaining treatments, or future medical interventions, an advance decision to refuse allows you to document and communicate those wishes.
3. Individuals with future incapacity concerns: If you have concerns about losing your mental capacity in the future and want to ensure that your treatment preferences are respected, an advance decision to refuse can be beneficial.
4. Anyone over the legal age of consent: As long as you are over the legal age of consent, you have the right to create an advance decision to refuse. It is advisable to consider your healthcare wishes and preferences early on to ensure they are properly documented.
5. Individuals with chronic conditions or terminal illnesses: People who suffer from chronic conditions or terminal illnesses may wish to create an advance decision to refuse treatments that may be associated with prolonging suffering without offering significant benefits.

Note: It is always advisable to seek legal advice or consult with a healthcare professional when creating an advance decision to refuse to ensure that it aligns with the legal requirements and adequately represents your wishes.

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What is advance decision to refuse?

Advance decision to refuse is a legal document that allows an individual to specify medical treatments they do not want to receive in the future.

Who is required to file advance decision to refuse?

Any competent adult can file an advance decision to refuse.

How to fill out advance decision to refuse?

To fill out an advance decision to refuse, an individual must clearly state their wishes regarding specific medical treatments in writing and have it signed and witnessed.

What is the purpose of advance decision to refuse?

The purpose of advance decision to refuse is to ensure that an individual's wishes regarding medical treatments are followed even if they are unable to communicate them in the future.

What information must be reported on advance decision to refuse?

An advance decision to refuse must include details of specific medical treatments the individual does not want to receive, as well as the circumstances under which the decision should be followed.