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PDF Your Right to Make Healthcare Decisions

Keep your advance directives in a place that is easy to get to—not in a safe deposit box Give copies of your directives to family members and friends who may be involved in your medical care Take copies of your advance directives with you when you are checking in to a healthcare facility for any outpatient or inpatient procedure Make sure

PDF FORM 3-1 ADVANCE HEALTH CARE DIRECTIVE

ADVANCE HEALTH CARE DIRECTIVE (03/17) California Hospital Association Page 1 of 8 INSTRUCTIONS Part 1 of this form lets you name another individual as agent to make health care decisions for you if you become incapable of making your own decisions or if you want someone else to make those decisions for you now even though you are still capable

  • What happens if my advance directive conicts with a facility's policy?

    If your advance directive conicts with the facility’s policy or a particular healthcare professional’s moral or religious views, the facility or profession-al must transfer you to the care of another which will honor your advance directives. them.

  • Can I Revoke my advance health care directive?

    You have the right to revoke this advance health care directive or replace this form at any time. (Add additional sheets if needed.) My agent’s authority becomes efective when my primary physician determines that I am unable to make my own health care decisions.

  • Do you have advance directives in Colorado?

    Whether or not you have advance directives, you will receive the medical care and treatment you need. advance directive forms in this booklet are specic to Colorado. If you spend a lot of time in another state, you should nd out if your Colorado rate set of advance directives according to the laws of that other state.

  • What happens if a facility honors my advance directives?

    tion on policies of that facility or provider concerning advance directives. If your advance directive conicts with the facility’s policy or a particular healthcare professional’s moral or religious views, the facility or profession-al must transfer you to the care of another which will honor your advance directives.

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