Advance Directive Forms

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Our Download Forms section serves as a resource for the community. We have provided valuable links and PDF documents that you can download regarding your health and other medical issues..


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Advance Healthcare Directives (English)
You have the right to give instructions about your own health care. You also have the right to name someone else to make health care decisions for you. The Advance Health Care Directive form lets you do one or both of these things. It also lets you write down your wishes about donation of organs and the selection of your primary physician. If you use the form, you may complete or change any part of it or all of it. You are also free to use a different form.

Click on the PDF icon below to download the English Version:
 
Advance Healthcare Directives (Spanish)
Usted tiene derecho a dar instrucciones sobre la atención de su salud. También tiene derecho a designar a otra persona para que tome decisiones sobre la atención de su salud en su nombre. Este formulario también le permite escribir sus deseos sobre la donación de órganos y la designación de su médico de atención primaria. Si utiliza este formulario, puede completarlo o cambiar cualquier parte del mismo. También puede utilizar un formulario diferente, si lo desea.
 
Aging With Dignity (Five Wishes)
Aging with Dignity publishes Five Wishes, a legal document that allows you to express your intentions concerning your medical, personal, emotional and spiritual needs if you become seriously ill and are unable to speak for yourself.  Five Wishes is valid under the laws of most states.  There is a fee for ordering this document. A video that walks you through the document and provides answers to common questions is also available for purchase. Five Wishes is available in English and Spanish, with copies in French, Korean, Vietnamese, Russian, and Braille by request.

Five Wishes also encourages discussing your wishes with your family and physician. To learn more, please click here. To View a non-printable example, please click on the PDF icon below:
 
Aging With Dignity (Cinco Deseos)
La organización sin fines de lucro Aging with Dignity (Envejeciendo con Dignidad) ha creado una guía llamada "Cinco Deseos" para darle información, consejo y herramientas legales necesarias para asegurarle que sus deseos y los de sus seres queridos sean respetados.
 




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