Get the free Advance Decision form Northern Ireland - macmillan org
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My Advance Decision to Refuse Treatment
(ART) document
About this document is for you to write down in advance any specific treatments that you don't
want to have in the future. It will only be used
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How to fill out advance decision form norformrn
How to fill out advance decision form norformrn:
01
Begin by entering your personal information, such as your full name, date of birth, and contact details, in the designated sections of the form.
02
Provide details about your health condition and medical history. Specify any specific treatments or interventions you would like to refuse or consent to in the future.
03
Consider appointing a trusted person as your attorney or advocate who can make decisions on your behalf if you become incapacitated.
04
Sign and date the form in the presence of a witness. The witness must also sign and provide their contact information.
05
Keep a copy of the completed form for your records and consider sharing copies with your healthcare providers and loved ones.
Who needs advance decision form norformrn:
01
Individuals who wish to have control over their medical treatment decisions in the event they are unable to communicate their wishes.
02
People with specific medical conditions or concerns that may require non-consensual or specific interventions.
03
Individuals who want to appoint a trusted person as their advocate to ensure their wishes are respected.
Overall, the advance decision form norformrn is useful for anyone who wants to have a legal document in place that outlines their medical treatment preferences and ensures their wishes are upheld.
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