Advance Directive Form With Patient Icd 10

State:
Pennsylvania
Control #:
PA-P023
Format:
Word; 
Rich Text
Instant download

Description Living Will Advance Directive

This Declaration form functions in the same manner as a living will and allows you to express your wishes and desires if it is determined that your death will occur whether or not life-sustaining procedures are utilized and where the application of life-sustaining procedures would serve only to artificially prolong the dying process. The living will section is where you tell your health care agent and health care providers your choices regarding the initiation, continuation, withholding or withdrawal of life-sustaining treatment and other specific directions. This form also contains provisions for appointing a health care agent to make health care decisions for you when you are unable. An optional provision is included that allows you to tell your health care agent your goals if you have an end-stage medical condition or other extreme and irreversible medical condition, such as advanced Alzheimer's disease.
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How to fill out Statutory Advance Directive?

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