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Voicing My Choices LE S A M P A Planning Guide for Adolescents & Young Adults . Voicing My Choices I, , ask My Signature: My Date of Birth: Address: Today s Date: M P Phone: LE that my family,.

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How to fill out the Voicing My Choices Pdf online

The Voicing My Choices Pdf is a planning guide designed for adolescents and young adults to articulate their health care preferences. This guide provides detailed instructions on how to fill out the form effectively and ensure that your wishes are clearly communicated.

Follow the steps to fill out the Voicing My Choices Pdf online.

  1. Click ‘Get Form’ button to access the Voicing My Choices Pdf and open it in your chosen editor.
  2. Fill out the personal information section with your name, date of birth, address, and phone number. This ensures that your document is personalized and easily identifiable.
  3. In the 'My Signature' field, provide your signature to validate the document. You should also date the form to indicate when it was completed.
  4. Complete the witness statement section by having two witnesses sign the document. Ensure that they print their names and provide their addresses as required.
  5. Proceed through each section of the form, detailing your preferences for comfort, support, medical care, and remembrance. Fill out the sections regarding the people you wish to include in discussions about your health care decisions.
  6. In the section regarding life support, indicate your preferences regarding medical treatments and whether you would like to try life-support treatment or not by checking the appropriate boxes.
  7. Utilize the blank pages at the end of the document to add any additional thoughts or wishes that were not covered in the main sections of the booklet.
  8. Once you have filled out the document completely, save your changes. You may then download, print, or share the completed form as needed.

Start filling out your Voicing My Choices Pdf online today to ensure your health care preferences are respected.

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Voicing My CHOiCES™ was never intended to be a document to be handed out and completed by the AYA on his or her own. It was envisioned as a tool to open communications with adolescents and young adults and, therefore, not written with the intention of being legally binding.

Voicing My CHOICES: A Planning Guide for Adolescents & Young Adults helps young people living with a serious illness to communicate their preferences to friends, family and caregivers. Most health care providers want to honor your wishes no matter how you express them.

Voicing My Choices empowers young people living with a serious illness to communicate to family, friends and caregivers how you want to be comforted, supported, treated and remembered. Based on the Five Wishes advance directive, Voicing My Choices provides a guide for this discussion.

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