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Advance Health Care Directive Form

If you use this form you may complete or modify all or any part of it. You are free to use a different form. Part 1 of this form is a power of attorney for 



Advanced Health Care Directive Form

You are free to use a different form. Part 1 of this form is a power of attorney for health care. Part 1 lets you name another individual as agent to make 



state of north carolina advance directive for a natural death (“living

GENERAL INSTRUCTIONS: You can use this Advance Directive ("Living Will") form to give instructions for the free of pain as possible so that my dignity is ...



ADVANCE DIRECTIVE FOR HEALTH CARE

ADVANCE DIRECTIVE FOR HEALTH CARE. (Living Will and Health Care Proxy). This form may be used in the State of Alabama to make your wishes known about what 



TN.gov

I do not give such permission (this form applies only when I no longer have capacity). Part 2 Indicate Your Wishes for Quality of Life: By marking “yes” below 



ADVANCE HEALTH CARE DIRECTIVE FORM

Register your Advance. Directive free of charge in Hawaii's own Document Bank at www .myhealthdirective.com. ____. Place copies in your medical files. ____.



Advance Directives for Health Care

In Section B and C you may state the circumstances in which various forms of medical treatment



GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE

This newly created form using understandable and everyday language is meant to encourage more citizens of Georgia to voluntarily execute advance directives for 



LIFE CARE PLANNING

WHY DOES THE ARIZONA ATTORNEY GENERAL OFFER THESE FORMS? The Arizona Attorney General's Office wants to make sure that all Arizonans have access to these free 



Health Care Advance Directives

Where can I find advance directive forms? Florida law provides a sample of each of the following forms: a living will a health care surrogate



Advance Health Care Directive Form

If you use this form you may complete or modify all or any part of it. You are free to use a different form. Part 1 of this form is a power of attorney for 



Advance Directive (Living Will) – Form for patients

I wish medical treatment to be limited to keeping me comfortable and free from pain and I refuse all other medical treatment. Permanent Mental Impairment: If 



TN.gov

I do not give such permission (this form applies only when I no longer have capacity). Part 2 Indicate Your Wishes for Quality of Life: By marking “yes” below 



Advance Directives and Living Wills:

Advance Directives are your written wishes about what you want to happen if you get too sick to be able to say. Living Will or Advance Care Plan. Machines and 



maryland advance directive: planning for future health care

us to supplying one set of forms to each requester. But please feel free to make as many copies as you wish. Additional information about advance directives 



Taking Charge of Your Health Care

Maine Health Care Advance Directive Form. You may use this form now to tell your physician and others what medical care you want to receive.



Maine Health Care Advance Directive Form

Maine Health Care. Advance Directive Form. You may use this form now to tell your physician and others what medical care you want to receive if you.



Advance Directive for Health Care

providers pursuant to the Oklahoma Advance Directive Act



state of north carolina advance directive for a natural death (“living

GENERAL INSTRUCTIONS: You can use this Advance Directive ("Living Will") form to give instructions for the future if you want your health care providers to 



Pennsylvania Advance Health Care Directive

This form lets you choose the kind of health care you want. Pennsylvania Advance Health Care Directive ... Be free from pain.

Advance Directives and

Living Wills:

Making sure your wishes are

honored for end of life careDivision of Health Care Finance & Administration

Advance Directives

Advance Directives are your written wishes about what you want to happen, if you get too sick to be able to say.

Living Will or Advance Care Plan

Machines and medicine can keep people alive when they otherwise might die. Doctors used to decide how long someone should be kept alive. Under the Tennessee Right to Natural Death Act, you can make your own choice.You can decide if you want to be kept alive by machines and for how longby filling out a Living Will. In 2004, Tennessee law changed the Living Will toAdvance Care Plan. Either one is ok to use. A Living Will or Advance Care Plan needs to be filled out while you can still think for yourself. These papers tell your friends and family what you want to happen to you, if you get too sick to be able to say. Your papers have to be signed, and either witnessed or notarized. If your papers are witnessed, your papers need to be signed in front of two people who will be your witnesses. These people: One of these people cannot be related to you by blood or marriage.

Cannot receive anything you own after you die.

Cannot be your doctor or any of the staff who work in the place where you get health care. Once they are signed by everyone, it is your rule. It stays like this unless you change your mind. Tennessee Durable Power of Attorney for Health Care or Appointment of Health

Care Agent

The Durable Power of Attorney for Health Care paper lets you name another person to make medical decisions for you. In 2004, Tennessee law changed the Durable Power of Attorney for Health Care toAppointment of Health Care Agent.Either one is ok to use. This person can only make decisions if you are too sick to make your own. He or she can say your wishes for you if you can't speak for yourself. Your illness can be temporary. These papers have to be signed, and either witnessed or notarized. Once the papers are signed by everyone, it is your rule. It stays like this unless you change your mind. These papers will only be used if you get too sick to able to say what you want to happen. As long as you can still think for yourself, you can decide about your health care yourself.

If you fill out these papers, make3copies:

Give1 copy to your Primary Care Provider to put in your medical file. Give1 copy to the person who will make a medical decision for you. Keepa copy with you to put with your important papers. Important!Youdo nothave to fill out these papers. It is your choice. You may want to talk to a lawyer or friend before you fill out these papers.quotesdbs_dbs6.pdfusesText_11
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