PDF-ADVANCE DIRECTIVE YOU DO NOT HAVE TO FILL OUT AND SIGN THIS FORM PART A IMPORTANT INFORMATION

It can control critical decisions about your health care Before signing consider these important facts Facts About PART B Appointing a Health Care Representative You have the right to name a person to direct your health care when you cannot do so Th. It can control critical decisions about your health care Before signing consider these important facts Facts About PART B Appointing a Health Care Representative You have the right to name a person to direct your health care when you cannot do so Th If you have more than two owners and you have income or loss de rived from NJ sources complete the Filing Fee Schedule located on the back of Return PART100 WHEN TO FILE PART100 Return PART100 must be postmarked on or before the orig inal due date o brPage 1br OUT 12 OUT 34 OUT 56 OUT 7 OUT KICK SNARE OM OM HI GAN UKELELE ZITHER BANJO ELEC GTR OUST GTR OH R OH L OWBELL GAN HI VO AL BASS DIRE BASS MP SOFT S N R SOFT S N L AN G S NTH THERE Have I told you lately when Im sleeping e very dream I dream of you some how Have I told you why the nights are long when youre not with me ell darling Im telling you now brPage 2br p2 Have I Told You Lately That I Love You My heart would break in Information For Consumers. West Virginia Mental Health Planning Council. This information was developed to raise awareness of Psychiatric Advance Directives. It is not intended to provide legal or medical advice.. Narrated by Michael . Teune. . c.c.c. .. Logging on. www.menuforprofit.com. Choose “The Financial Menu”. Next you want to click the recipe forms tab.. ***Side note some of the yields can be found in this section***. Information for Providers. West Virginia Mental Health Planning Council. This information was developed to raise awareness of Psychiatric Advance Directives. It is not intended to provide legal or medical advice.. Introduction to Advance . Directive for Health Care. In 2004, the Health Care Decision Act was passed thus revising Tennessee law concerning health care decision making. What does the . Act do. ? . This is the Health Care Directive of: Name Address Province Telephone Part 1 – Designation of a Health Care Proxy You may name one or more persons who will have the power to make decisions abo Indianapolis, Indiana 46204 March 1999 Revised May 2004 Revised Ju ly 1, 2013 _______________________________________________________________________________ ADVANCE DIRECTIVES YOUR RIGHT TO DECIDE _ As a VA patient you have a say in the health care you receive. Normally your doctor explains your WHAT YOU SHOULD KNOW ABOUT ADVANCE DIRECTIVES CONTINUED Your advance directive is used only when you PS-X-MHS-442 (Rev. 3-04) You can write down your wishes about donating your bodily organs and tissues following your death. You can select a physician to have primary or main Part 5: Signature and Wit Do you want to be kept alive by machines?. Does anyone know your wishes for your care?. Who will make decisions for you?. Imagine…. Your mother has slipped into a coma. You and your siblings need to make some decisions about her medical care.. The Basics . Objectives . Describe the main elements of advance care planning . Describe the role of values-based decision-making in advance care planning . Demonstrate beginning . skills . in . facilitating .