Get 202a Kentucky Form

This guide provides a clear and supportive approach to filling out the 202a Kentucky Form for advance directives regarding mental health treatment. By following the instructions carefully, users can ensure that their preferences are accurately documented and respected.

Follow the steps to complete the 202a Kentucky Form online.

1. Press the ‘Get Form’ button to access the form and open it in your editing interface.
2. Begin by entering your name in the designated area at the top of the form. This identifies you as the person creating the advance directive.
3. Indicate whether you are naming a surrogate by checking the appropriate box. If you are naming a surrogate, fill in their name in the space provided.
4. Designate an alternate surrogate if desired, completing the necessary information for that person as well.
5. Specify any refusals of treatment with specific psychotropic medications. List the medication and provide reasons for refusal in the spaces provided.
6. Identify any specific psychotropic medications you would be willing to receive if necessary by listing them in the specified section.
7. Indicate your preferences regarding electroconvulsive therapy (ECT) by selecting the appropriate consent option.
8. Outline your preferences for emergency interventions, detailing the intervention, order of preference, and reasoning in the spaces given.
9. Sign and date the form in the designated area, ensuring that you include your address.
10. Obtain signatures from witnesses as required. They must not be your current health care provider or related to them.
11. If you have designated a surrogate or alternate surrogate, complete their contact information and obtain their signatures.
12. Once you have filled out all sections of the form, review it for accuracy. You can then save changes, download, print, or share the completed form as needed.

Complete your advance directive online to ensure your mental health treatment preferences are documented.