[PDF] Form - Advance Directive Checklist - Olmsted Medical Center PDF Form---Advance-Directive-Checklist.pdf

1 Are your wishes clear? 2 Will your healthcare team, family, and friends honor them? Appoint an agent A Discuss your wishes with your agent B Specify any

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Advance Directive Admission Form and Checklist Your answers to the following questions will assist your Physician and the Hospital to respect your wishes

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An Advance Directive is a legal document stating how you would like to be treated at the end of your life This checklist serves as a guide in helping you prepare

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GETTING STARTED A Checklist for Advance Care Planning Agent” (FMH Advance Directive – Part A) □ Document your wishes in your Advance Directive

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Include copy of Advance Directive in prominent part of medical record Advance Directive Checklist Chart Labels Highmark Blue Shield is an Independent

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The best way for you to be in control of your medical treatment is to sign a ' Georgia Advance Directive For Health Care' before you have an illness that prevents

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This guide includes information about advance directive forms with tips on how to use them Checklist for a Valid Non-Hospital DNR Order: • You, your health

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Advance(Care(Planning(Checklist( (( What Matters Most? There are many steps you can take to keep the conversation going

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(Use Advance Care Planning Personal Worksheet for questions to review ) ___ Choose health care agents (someone who you trust, knows you well and would

[PDF] [PDF] Form - Advance Directive Checklist - Olmsted Medical Center