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Advance Care Directive DIY Kit

advancecaredirectives.sa.gov.au

Advance Care Directive to make decisions about your future health care, end of life, living arrangements and other personal matters when you are unable to make these decisions for yourself, whether for a short time only, or permanently. Person Responsible: is an adult able to make health care decisions for you if you have not appointed a

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NOTE: YOU SHOULD USE THIS DOCUMENT TO NAME A …

www.sosnc.gov

care decisions for you when you cannot make the decision yourself or cannot communicate your -prolonging measures, mental health treatment, and other health care decisions with your health care agent. Except to the extent that you express specific limitations or restrictions in this form, your health care agent may

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Advance Directives for Health Care

www.nj.gov

health care decisions, as determined by the physician who has primary responsibility for my care, and any necessary confirming determinations. B) ALTERNATE REPRESENTATIVES: If the person I have designated above is unable, unwilling or unavailable to act as my health care representative, I hereby designate the following person(s) to act as my health

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Advance Directives for Health Care

www.nj.gov

Title: Advance Directives for Health Care Author: NJDHSS, Long Term Care Subject: Planning Ahead for Important Health Care Decisions Created Date

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Advanced Health Care Directive Form

oag.ca.gov

ADVANCE HEALTH CARE DIRECTIVE FORM. PAGE 1 of 7. Probate Code - PROB DIVISION 4.7. HEALTH CARE DECISIONS [4600 - 4806] ( Division 4.7 added by Stats. 1999, Ch. 658, Sec. 39.

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Date of Directive

sos.idaho.gov

make health care decisions for you, except to the extent that there are limits provided by law.) In exercising the authority under this durable power of attorney for health care, my agent shall act consistently with my desires as stated below and is subject to the special

  Care, Decision, Care decisions

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