Get Advance Directive Form - Holy Redeemer Health System

Completing an Advance Directive Form is an important step in making your health care preferences known. This guide will provide you with clear, step-by-step instructions on how to fill out the Advance Directive Form from Holy Redeemer Health System online, ensuring that your wishes are respected.

Follow the steps to complete your Advance Directive Form online.

1. Press the ‘Get Form’ button to retrieve the Advance Directive Form. This will allow you to access and open the document for editing.
2. Begin by filling in your name at the top of the form, indicating your commitment to make health care decisions for yourself.
3. In the section that mentions health care treatment preferences, clearly indicate whether you want or do not want each treatment option by checking the appropriate box. This includes decisions about cardiac resuscitation, mechanical respiration, tube feeding, and other medical interventions.
4. Make sure to express any additional instructions that are important to you regarding your health care by using the provided space.
5. If you choose to designate a surrogate, fill in their name and address in the appropriate section. This person will make medical decisions on your behalf if you are unable to do so.
6. Fill out the date when you are making this declaration, which is essential for legal validation of your Advance Directive.
7. Sign the form in the designated area to indicate your consent and understanding of the directives you are establishing.
8. Provide your address directly below your signature, ensuring all necessary personal information is included.
9. Two witnesses must sign the form as well. They should fill out their names and addresses to verify that they witnessed your signature.
10. Once you have completed and signed the form, save your changes. You can then download, print, or share the document as needed to ensure it is accessible to your designated healthcare provider.

Complete your Advance Directive Form online today to ensure your health care decisions are honored.