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Get Form - Utah Division Of Aging And Adult Services - Hsdaas Utah
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How to fill out the Form - Utah Division Of Aging And Adult Services - Hsdaas Utah online
Filling out the Form - Utah Division Of Aging And Adult Services - Hsdaas Utah is an important step in making your healthcare preferences known. This guide provides step-by-step instructions to help you navigate the form with clarity and confidence.
Follow the steps to effectively complete the form online.
- Press the 'Get Form' button to access the form and open it in your preferred editor.
- Fill in your personal information, including your name, address, telephone number, and birth date in the designated fields.
- In Part I, choose your agent for health care decisions. Select 'No Agent' if you do not wish to name an agent, or complete the sections for 'My Agent' and 'My Alternate Agent' if you do.
- Specify the authority of your agent by initialing the options related to the powers they will have in making healthcare decisions on your behalf.
- Indicate any limits or expansions of authority for your health care agent in section F, if necessary.
- In Part II, express your health care wishes by selecting one of the provided options (1 through 4) regarding the prolonged life and comfort care.
- Add any additional instructions about your health care wishes in the space provided in Part II.
- Review Part III to understand how to revoke or change the directive if needed.
- Complete Part IV by signing and dating the form, ensuring that a qualified witness signs as well if required.
- Once all sections are complete, save changes, download, print, or share the form as needed.
Take the step to get your health care preferences documented by completing the form online.
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