Get Declaration Of Substitute Decision Maker Sdm - Cdha Nshealth
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How to fill out the Declaration Of Substitute Decision Maker SDM - Cdha Nshealth online
Filling out the Declaration Of Substitute Decision Maker form is an important step in ensuring that your personal health information is managed appropriately. This guide provides clear and supportive instructions on how to complete the form online, making the process straightforward for all users.
Follow the steps to complete your Declaration Of Substitute Decision Maker form online.
- Use the 'Get Form' button to obtain the form and open it in your chosen online editor.
- Begin by identifying the patient. Provide the patient’s full name in the designated section to clearly indicate who the declaration pertains to.
- Next, print your name in the space provided for the Substitute Decision Maker (SDM). Ensure that all relevant details are accurately entered.
- Indicate your relationship to the patient by filling in the corresponding field. Refer to the priority list provided in the document to ensure it aligns with the correct category.
- Check all boxes to certify the following statements: that you have been in personal contact with the patient in the last twelve months, that you are willing to assume the responsibility for decisions related to the release of information, and that you are aware of no other individuals in a higher priority category who can act as SDM.
- Sign the form in the designated signature field, ensuring that your signature matches the printed name you provided.
- Finally, complete the date field in order to finalize your declaration. Once all information is correctly filled out, save any changes made, and consider downloading or printing the form for your records.
Complete your Declaration Of Substitute Decision Maker form online today to ensure your health information is managed according to your wishes.
This Act enables Nova Scotians to document their wishes regarding what personal care decisions are made for them, and/or who makes them, in the event that they are incapacitated and are unable to make these decisions themselves.
Fill Declaration Of Substitute Decision Maker SDM - Cdha Nshealth
Please complete the following table indicating, according to rank order, the identity of any potential Statutory Decision Maker(s) and provide an. You may attach a proof of identification to your declaration in lieu of a signature below. The health-care team will rely on your Substitute Decision Maker (SDM) to make decisions on your behalf. Your SDM is the person you trust.
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