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Virginia advance directive printable form

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The document is a VA Advance Directive form that allows individuals to outline their health care preferences in case they become unable to make decisions for themselves. It includes sections for appointing a Health Care Agent, specifying preferences for life-sustaining treatments, mental health care, and additional health care preferences. The form emphasizes the importance of discussing these choices with family and healthcare providers and provides instructions for completion and witnessing.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (229 Votes)
2020	4.3 Satisfied (77 Votes)
2015	4.4 Satisfied (288 Votes)
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2006	3.9 Satisfied (52 Votes)

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What are the three types of advance directives?

Use VA Form 10-10EZ if youre a Veteran and want to apply for VA health care. You must be enrolled in VA health care to get care at VA health facilities or to have us cover your care at a community care provider (an approved non-VA provider).

Does the VA provide power of attorney for a living will?

The Department of Veterans Affairs (VA) has an advance directive form that combines a living will and a durable power of attorney. This form is accepted at all VA health care facilities and at most non-VA facilities as well (although rules on their enforceability may vary from state to state).

What is the order of surrogate priority in VA?

If you dont choose a Health Care Agent to be your surrogate and you lose the ability to make decisions for yourself, your surrogate will be identified from this list, in the following order of priority: legal guardian (if you have one), spouse, adult child, parent, sibling, grandparent, grandchild, or a close friend.

What is VA form 10 0137?

Use VA Form 10-0137 to give specific people permission to make health care decisions for you, and to let VA health care providers know your wishes for medical, mental health, long-term, and other types of care.

What is the VA form 10 1394?

Youll need to fill out an Application for Adaptive EquipmentMotor Vehicle (VA Form 10-1394). Bring it to the prosthetic representative at your local VA medical center. We may pay you, or we may pay the equipment seller directly. Note: You must have a service-connected disability to get an adaptive-equipment grant.

va form 10 0137 printable

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