Get The Person I Want To Make Care Decisions For ... - Five Wishes

Completing the Five Wishes document is a vital step in expressing your healthcare preferences and ensuring your wishes are respected. This guide will provide a clear, step-by-step approach to filling out the form online, empowering you to make informed decisions about your care.

Follow the steps to accurately complete your Five Wishes form.

1. Click the ‘Get Form’ button to access the Five Wishes document and open it for editing.
2. Begin by filling in your personal details under 'The Person I Want To Make Care Decisions for Me When I Can’t'. This includes your full name and birthdate.
3. Designate your first choice for a Health Care Agent by providing their name, address, and phone number. Ensure this person is willing to honor your wishes.
4. If your first choice is unable to act, list two alternate choices as instructed, providing similar contact details.
5. In 'Wish 1', clearly describe the authority you wish to grant to your Health Care Agent regarding medical decisions. Modify any actions you do not wish to authorize.
6. Move on to 'Wish 2' to specify the kind of medical treatment you wish to receive or not receive, making selections for different scenarios, such as being close to death or in a coma.
7. Proceed to 'Wish 3' and indicate how comfortable you wish to be, adjusting preferences based on your individual comfort levels.
8. In 'Wish 4', articulate your desires regarding how you want people to treat you, including any specific interactions or supports you wish to receive.
9. Finally, fill out 'Wish 5' to express what you would like your loved ones to know, and detail any instructions regarding your remains.
10. After completing the form, remember to sign it in the presence of two witnesses as required, ensuring all signatures and personal information are completed accurately.
11. Once finalized, save your changes, download the document, and consider printing or sharing it with your Health Care Agent, family, and healthcare providers.

Take control of your health care decisions by completing the Five Wishes document online today.