Form 3 1 health care directive 2016-2026

1. Click ‘Get Form’ to open it in the editor.
2. In Part 1, designate your primary agent by filling in their name, address, and phone numbers. Ensure that your chosen agent is not an employee of your healthcare provider unless they are a relative.
3. Optionally, you can name alternate agents in case your primary agent is unavailable. Fill in their details as required.
4. In Part 2, specify any health care instructions you wish to provide. You can choose whether to prolong life or not and indicate preferences for pain relief.
5. If applicable, complete Part 3 regarding organ donation by indicating your wishes clearly.
6. Designate your primary physician in Part 4 if desired, providing their contact information.
7. Finally, sign the document in Part 5 and ensure it is witnessed or notarized as required.

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