Pennsylvania Advance. Health Care Directive. This form lets you have a say about how you want to be treated if you get very sick. Choose a medical decision-
A new law was passed in Pennsylvania effective. January 28
Give the new form to your medical decision maker and medical providers. Destroy old forms. Page 3. Copyright © The Regents of the University of California 2016
Pennsylvania law recognizes 4 types of advance directives: the form that is provided in this booklet to execute your advance directives.
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.
While Caring Connections updates the following information and form to keep them up-to-date changes in the underlying law can affect how the form will operate
As part of this discussion you may talk about advance directives (ADs) with or without completing legal forms. An AD appoints an agent and/or records the
guide includes information about advance directive forms with tips on how to use them. health.ny.gov/publications/1430.pdf. A Health Care Proxy.
This advance directive form is an official document where you can write down this website http://www4.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf.
may fill out the Advance Directive form stating your medical preferences even if you do not Primary care provider (Physician PA or Nurse Practitioner):.