Get Wi Dph 0085 1998-2026
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How to fill out the WI DPH 0085 online
The WI DPH 0085 form, known as the Power of Attorney for Health Care, enables individuals in Wisconsin to designate a health care agent to make medical decisions on their behalf when they are unable to do so. This guide provides clear, step-by-step instructions on how to complete the form online to ensure that your health care preferences are respected.
Follow the steps to effectively fill out the WI DPH 0085 online
- Press the ‘Get Form’ button to access the WI DPH 0085 form and open it in an editing interface.
- Complete the top section of the form where you will input the date of creation, your name, address, and date of birth. Ensure that this information is accurate as it identifies you as the principal.
- Designate your health care agent by providing their name, address, and telephone number. You can also specify an alternate health care agent in case the primary agent is unable to fulfill their duties.
- In the general statement section, clarify the authority granted to your health care agent and describe any specific health care decisions you want the agent to be aware of.
- Indicate any limitations you wish to place on the health care agent regarding mental health treatment and admissions to nursing facilities.
- Specify your preferences about medical procedures, such as the use of a feeding tube and whether your health care agent can make decisions if you are pregnant.
- Add any special provisions, limitations, or stated desires that you want your health care agent to know.
- Ensure that you and two witnesses sign the document simultaneously. Each witness must confirm they meet the required eligibility criteria.
- Finally, save your completed form. You can download, print, or share it as necessary to distribute copies to relevant parties, including your health care agent and physician.
Start filling out the WI DPH 0085 online today to secure your health care decisions.
The mission of DHS Wisconsin is to protect and promote the health and safety of the people of Wisconsin. They work to ensure access to high-quality healthcare and public health services. By leveraging tools like the WI DPH 0085, individuals can actively engage with DHS's mission and maximize their access to available health benefits.
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