[PDF] [PDF] Advance Directive (Living Will) – Form for patients

Advance Directive (Living Will) – Form for patients The Practice wishes to assure you and your carers, that under all circumstances it will strive to provide



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[PDF] Advanced Health Care Directive Form - California Department of

UNIFORM HEALTH CARE DECISIONS ACT [4670 - 4743] ( Part 2 added by Stats 1999, Ch 658, Sec 39 ) CHAPTER 2 Advance Health Care Directive Forms [ 



[PDF] sample advance directive form

Advance directives vary by state and so it is important to fill out a state-specific advance directive form It is possible that a living will or durable power of attorney  



[PDF] NEW YORK Advance Directive - NHPCO

Unless you specify otherwise in the space for additional instructions on page 2 of the form, if you appoint your spouse as your agent, the health care proxy will be 



[PDF] Advance Health Care Directive

Make medical choices for me or take legal action to carry out my medical wishes These wishes are based on instructions that I have given in this form or what I 



[PDF] Advance Directive (Living Will) – Form for patients

Advance Directive (Living Will) – Form for patients The Practice wishes to assure you and your carers, that under all circumstances it will strive to provide



[PDF] New Mexico Optional Advance Health Care Directive Form

New Mexico Optional Advance Health Care Directive Form EXPLANATION FOR MEMBERS You have the right to give instructions about your own health care



[PDF] State of Oregon Advance Directive Form

ADVANCE DIRECTIVE (STATE OF OREGON) This form may be used in Oregon to choose a person to make health care decisions for you if you become too



[PDF] Advance Directives - State of Michigan

An advance directive is a written document in which you specify what type of Is there a required form for a durable power of attorney for health care? No



[PDF] Wyoming Advance Health Care Directive Form for: - Cheyenne

Advance Health Care Directive Form for: (print your full name) Please place the completed document on the front of your refrigerator or another location

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