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Step 1: Write down your wishesWrite your wishes into an advance care plan.Discuss your wishes/preferences with your family and loved ones.List the names and contact details of a substitute decision maker who can speak on your behalf.When completed, save your advance care plan to your computer as a PDF document.

As long as you can still make your own decisions, your advance directive won't be used. You can change or cancel it at any time. Your health care agent will only make choices for you if you can't or don't want to decide for yourself.

The National Hospice and Palliative Care Organization has a list of advance directive forms for every state. We also recommend checking your state government's website for the most up-to-date forms.

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Advance directiveA written document (form) that tells what a person wants or doesn't want if he/she in the future can't make his/her wishes known about medical treatment. Artificial nutrition and hydrationWhen food and water are fed to a person through a tube.

The directive is a formalised version of your advance care plan . It outlines your preferences for your future care along with your beliefs, values and goals. Having an advance care directive means you can also formally appoint a substitute decision-maker for when you can no longer make decisions yourself.

Suitable witnesses A suitable witness is someone who is: 'competent', that is, someone who understands the nature and legal effects of the proposed advance care directive reg 7(3)(a); and.