the new draft Advance Care Directive form • extra information for witnesses, substitute decision-makers and interpreters The example statements have been
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[PDF] sample advance directive form
To the extent my wishes are unknown, my agent shall make health care decisions for me in accordance with what my agent determines to be my best interest In
[PDF] SAMPLE ADVANCE DIRECTIVES
If I cannot be expected to have a significant period of conscious life even after medical or surgical care, then I want comfort care only (Examples I do not want any surgery or other care designed to prolong my life I do not want artificially administered food or fluids and I do not want to be resuscitated )
[PDF] Draft Advance Care Directive DIY Kit - YourSAy
the new draft Advance Care Directive form • extra information for witnesses, substitute decision-makers and interpreters The example statements have been
[PDF] Discussion Guide - Allina Health
help with advance care planning discussion or help in completing a health care directive, For example, you may want to have a priest, rabbi or pastor visit,
[PDF] SAMPLE LANGUAGE FOR HEALTH CARE DIRECTIVES
Sample Language for Health Care Directives A My General View Regarding My Health Care • I have lived a good, long life I am not afraid to die If I am near
[PDF] 1 of 5 GENERAL INSTRUCTIONS: You can use this Advance
own Advance Directive you need to be very careful to ensure that it is consistent with North I DO want to receive ONLY artificial hydration (for example, through
[PDF] Advance Directive Overview To complete this advance directive
values, and this advance directive with your health care agent(s) Unless you talk For example, you might need care to recover after surgery and you expect to
[PDF] Advance Directives - State of Michigan
For example, you can give your patient advocate power to consent to or refuse medical treatment for you; arrange for mental health treatment, home health care or
[PDF] Sample Text for a Handwritten Advance Directive - Credit Suisse
Sample Text for a Handwritten Advance Directive The Swiss child and adult protection law (KESR) allows a person with the capacity to act to determine
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