Advance Directive Questionnaire

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retirement planning questionnaire
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1 ONE COPY FOR EACH ADULT IN THE HOUSEHOLD Copy Number THE - ourneighbourhoodplanning org
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CENTRAL HUME
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DCF-030 - CT.gov
DCF-030 - CT.gov
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What is Advance Directive Questionnaire?

An Advance Directive Questionnaire is a document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This questionnaire helps ensure that your healthcare decisions are respected and followed in difficult times.

What are the types of Advance Directive Questionnaire?

There are two main types of Advance Directive Questionnaires: Living Will and Medical Power of Attorney. A Living Will specifies the type of medical treatments you do or do not want in certain situations. A Medical Power of Attorney appoints a trusted individual to make healthcare decisions on your behalf if you are unable to do so.

Living Will
Medical Power of Attorney

How to complete Advance Directive Questionnaire

Completing an Advance Directive Questionnaire is an important step in ensuring your healthcare wishes are honored. Here are some steps to help you complete the questionnaire:

01
Consider your healthcare preferences and values
02
Consult with your healthcare provider or legal advisor
03
Fill out the questionnaire accurately and honestly
04
Review and update your questionnaire periodically as needed

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