Advance directive checklist

Expert Review included. To locate and complete the legally valid form for your state use this resource: State-By-State AD Forms. If you decide you want to develop an advance directive , use the following checklist. Have two qualified witnesses or a notary public.

Keep them informed about your current wishes. CaringInfo provides free advance directives and instructions for each state that can be opened as a PDF (Portable Document Format) file. These materials are copyrighted by CaringInfo. Permission is granted to download a single copy of any portion of these texts.

If you wish to refuse life-sustaining treatments in circumstances where you might die as a result, you need to state this clearly in your advance decision. This could be in the form of a living will, New York State’s Health Care Proxy or power of attorney form. Free to create a Will. Continue reading to learn what to do when you complete the document. Give a copy to your doctor.

Keep a record of who has your advance directives. Talk to family members and. We suggest that a team of people complete it and then review their together. Each US state has different forms. If you move from one state to another, you should consider completing forms for your new state of residence.

I have spoken to my healthcare provider (s) about my health and what healthcare decisions I might need to make in the future. I have chosen and spoken to my agent about my wishes. The powers on the advance directive form are the main ones that your agent might need. If you do not select an agent, the law will automatically appoint your spouse or closest blood relative to make health care decisions for you when you cannot.

If this happens, the law grants all the powers below except visitation rights. Thinking about Tour Health One Wishes A Why am I writing an advance directive ? What are my treatment wishes? Talking with Others A Physicians and other health care professionals 1. Highmark Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association. Developed By: New England MHTTC.

ADVANCE DIRECTIVE CHECKLIST. Is the person you will be representing younger than years old (and not an emancipated minor)? Does the person currently have a guardian? Has any court found the person to be currently incapacitate such as an involuntary commitment to a mental health hospital?

Your health care instructions. With an advance directive , you can: Appoint a healthcare agent to make decisions for you. This is usually a person who knows your values and is important to you. Specify where you want to stay during your end-of-life care, such as hospice or at home. Allow any visitors, or limit them.

Ask for spiritual care.