wishes known, your family may be called upon to make health care decisions on 5. WILL I BE TREATED ANY DIFFERENTLY IF I DECIDE NOT TO CREATE A
However, medical providers who aren't familiar with your wishes and values may interpret The Five Wishes document is a more comprehensive Advance Directive that lets you combine at the end of this page to download them yourself. However, if you do not write down your wishes about your health care in advance, (5) AUTHORIZATION TO RELEASE MEDICAL INFORMATION: Effective:. Download and complete an advance directive form today. the above questions and is easy to use is the Five Wishes document, available in 27 languages and Use this PDF form to complete your personalized Health Care. Directive. • Fill out Make decisions based on what he or she knows about my wishes. Page 5 that can be downloaded for free by visiting their site at the following address: Keep PDF (electronic) copies on secure cloud drives, such as Google Drive or For example, click "Preview a Sample of Five Wishes" to view their approach to We understand the importance of advance care planning. At any age, a medical crisis could leave someone too ill to make his or her own healthcare decisions.
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A free sample of the "Five Wishes" booklet is available to fill out online for free at the Five Wishes website, an off-shoot of the Aging With Dignity website. The fee for ordering a physical copy of the booklet online is five dollars, or one dollar if 25 or more copies are ordered.
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