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Get Uwh301677-dt 2020-2025
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How to fill out the UWH301677-DT online
The UWH301677-DT is a legal document designed for individuals in Wisconsin to appoint a health care agent and outline their medical care preferences. Completing this form is essential for ensuring that your health care decisions align with your desires in the event that you cannot communicate them yourself.
Follow the steps to complete the UWH301677-DT form online.
- Press the ‘Get Form’ button to acquire the UWH301677-DT document and open it in the editing tool.
- In Part 1, select a health care agent by filling in their name, phone number, and address. Consider someone who knows your values and can advocate for you.
- If necessary, provide details for alternate health care agents in the designated sections. This is important in case your primary agent is unavailable.
- Moving to Part 2, indicate the general authority you wish to grant your health care agent by marking the appropriate options.
- Complete the specific limitations regarding mental health treatment, if relevant. Make sure you are aware of what your health care agent can or cannot decide.
- In Part 3, express your desires about medical treatments in specific situations. This includes your stance on life-prolonging treatments and CPR preferences.
- Add any specific care instructions that reflect your comfort preferences and personal messages for your loved ones if you are near death.
- Indicate your preferences regarding organ or tissue donation and any thoughts about having an autopsy.
- Finally, in Part 4, sign and date the document in front of two qualified witnesses to finalize the directive. Make sure your witnesses meet all necessary criteria.
- Once the form is filled out, save your changes, and choose whether to download, print, or share the completed document with your health care agent and family members.
Start completing your UWH301677-DT form online today.
(2) A witness to the execution of a valid power of attorney for health care instrument shall be an individual who has attained age 18....155.20(2)(a)1. An institution for mental diseases, as defined in s. ... An intermediate care facility for persons with an intellectual disability, as defined in s.
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