Get Your Right To Make Your Own Health Care Decisions

Filling out the Your Right To Make Your Own Health Care Decisions form is an essential step in ensuring your healthcare preferences are respected. This guide provides clear and user-friendly instructions to help you navigate the online form effectively.

Follow the steps to complete the form accurately and confidently.

1. Press the ‘Get Form’ button to access the form and open it in an editable format.
2. Begin by filling out your personal information, including your full name and address. This helps to ensure that the document accurately reflects your wishes.
3. Designate your health care agent by providing their full name, address, and telephone number in the specified section. You also have the option to name a back-up agent if your primary choice is unavailable.
4. Clearly outline the authority of your agent, including their powers to access medical records, select healthcare providers, and make treatment decisions on your behalf. Make sure to include any conditions or limitations on their authority.
5. Indicate the circumstances under which your agent’s authority becomes effective. You can choose either when two physicians deem you incapable of making informed decisions or when the document is signed.
6. If you have specific health care instructions, fill them out in the designated sections of the form. Be clear about your treatment preferences in scenarios such as terminal conditions, persistent vegetative states, or end-stage diseases.
7. Review all the completed sections to ensure accuracy. Once satisfied, sign and date the document in the appropriate area.
8. After signing, ensure that the document is witnessed by two individuals who can attest to your competency when signing. Provide their signatures and addresses as required.
9. Make copies of the completed form and share them with your health care provider, family members, and any relevant healthcare facilities to ensure that your wishes are honored.
10. Once all details are entered and thoroughly reviewed, save your changes, download the document, and print or share as necessary.

Start filling out your Your Right To Make Your Own Health Care Decisions form online today to ensure your medical preferences are clearly documented.