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Get Advance Directive Form 166033
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How to fill out the Advance Directive Form 166033 online
Filling out an Advance Directive Form is an essential step in ensuring your healthcare wishes are honored when you cannot communicate them. This guide provides clear, step-by-step instructions for completing the Advance Directive Form 166033 online.
Follow the steps to fill out the Advance Directive Form 166033 online.
- Press the ‘Get Form’ button to access the form and open it.
- Begin by entering your full name at the top of the form, ensuring you accurately reflect your identity.
- In the directive section, indicate your understanding of the partnership with your physician regarding healthcare decisions. You will affirm that your physician will make healthcare decisions together with you as long as you are able to communicate your wishes.
- For the terminal condition section, select either to discontinue treatments beyond comfort care or to request life-sustaining treatment if you are diagnosed with a terminal condition. Make sure to initial your choice.
- Next, address the section regarding irreversible conditions. Similar to step four, indicate whether you prefer to discontinue treatments beyond comfort care or receive life-sustaining treatment. Ensure you initial your selection.
- Consider any additional requests regarding specific treatments you wish to include or exclude. After your discussion with your physician, write these preferences in the provided space.
- If you do not have a Medical Power of Attorney, designate one or two individuals to make treatment decisions on your behalf. Fill in their names as appropriate.
- Review the entire document to ensure all information is complete and accurate. Make any necessary adjustments.
- Sign and date the form at the designated space. This signature indicates your agreement with the stated directives.
- Finally, save your changes, and download or print the document for your records. Ensure copies are provided to your physician, healthcare facility, and designated individuals.
Start filling out your Advance Directive Form online today to ensure your healthcare preferences are known and respected.
Completing an advance directive involves a few straightforward steps. First, consider your medical preferences and document them in the Advance Directive Form 166033. After filling it out, sign the form in front of your witnesses or a notary as required by your state law to ensure your directives are legally enforceable.
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