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How to fill out the VA 10-0137 online
The VA 10-0137 form, known as the VA advance directive, is essential for outlining your health care preferences. It allows individuals to specify their wishes regarding medical treatment and appoint an agent to make decisions on their behalf in case they are unable to do so.
Follow the steps to complete the VA 10-0137 form online.
- Click ‘Get Form’ button to access the VA 10-0137 form and open it in your preferred editor.
- Fill in your personal information in Part I, including your full name, social security number, address, and contact numbers. Ensure accuracy since this information is crucial.
- In Part II, designate your Health Care Agent. Make sure to appoint someone you trust, and provide their full details, including name, relationship, and contact information.
- If desired, select an alternate Health Care Agent in Part II, Section B. This individual will take over in case your primary agent is unavailable.
- Proceeds to Part III for the Living Will section. Here, specify your preferences regarding life-sustaining treatments. Read each situation carefully and initial your choices.
- In Part III, B, if applicable, write down any mental health preferences. This can include past treatments or facilities that you prefer or wish to avoid.
- Complete Section C of Part III to document any additional health care preferences, including cultural or religious considerations.
- In Part D, indicate how strictly you want your preferences to be followed by initialing the corresponding statement.
- Proceed to Part IV to sign the form and obtain signatures from two witnesses. Make sure the witnesses meet the criteria established in the instructions.
- If you choose to notarize the document, complete Part V by providing the notary details and affixing the notary seal.
- Once the form is fully filled out, save the changes. You can then download, print, or share the completed form as needed.
Start filling out the VA 10-0137 form online today to ensure your health care preferences are documented and respected.
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