Home
Forms Library
Values History Form - Department For The Aging - vda virginia

Values History Form - Department For The Aging - vda virginia 2026

Values History Form - Department For The Aging - vda virginia Preview on Page 1

See details

4.4 out of 5

32 votes

The Values History Form is a document used by the Virginia Public Guardian & Conservator Program to capture the preferences and important aspects of life for individuals who are legally incapacitated. It emphasizes person-centered practices, encouraging participation in decision-making and documenting what individuals value for a good life. The form includes sections on living environment, health, independence, personal relationships, religious beliefs, attitudes toward life and death, finances, and any additional information the individual wishes to share.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Values History Form - Department For The Aging - vda virginia

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering the individual's name and date at the top of the form. This establishes who the values history pertains to.
In Section 1, ask about their living environment. Record their preferences regarding living alone or with others, and whether they like their current residence.
Proceed to Section 2, focusing on health. Document responses about their current health status, pain levels, and trust in healthcare providers.
In Section 3, explore their thoughts on independence. Note how important self-sufficiency is to them and any advance directives they may have.
Continue with Section 4, which covers personal relationships. Identify key individuals in their life and any preferences for involvement during critical times.
Section 5 addresses religious beliefs. Capture any relevant faith practices that influence their care preferences.
In Section 6, discuss overall attitudes toward life and death. Document activities they enjoy and any fears or goals they may have.
Complete Sections 7 and 8 regarding finances and any additional comments from the individual or guardian.

Start using our platform today to easily fill out the Values History Form for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I sign my Values History Form - Department For The Aging - vda virginia in electronic format?

As outlined by eSignature regulations, forms signed electronically have the same validity as traditionally approved ones. You can eSign almost any business and private documentation. Four types of paperwork still call for handwritten signatures only - wills and testamentary trusts, court orders and other court papers, state statutes regulating divorce, adoption, or other family law, and notice of cancellation of utility services. If you follow the rules and use a secure and compliant software solution, like DocHub, you can eSign your Values History Form - Department For The Aging - vda virginia without printing it.

How do you edit Values History Form - Department For The Aging - vda virginia in Chrome?

If you use Chrome, there are two straightforward ways to edit your Values History Form - Department For The Aging - vda virginia online. First, visit the DocHub website, add your file, and edit it utilizing our toolbar. You may also set up our Chrome extension and edit any document by dragging and dropping it in your browser tab.

What tax breaks do seniors get in Virginia?

Virginia Income Tax If you are age 65 or older, you qualify for an additional personal exemption on your state income tax return for yourself and a qualifying spouse. This is in addition to the $800 personal exemption for all taxpayers.

What is the most requested support service for the elderly?

So, what is the most requested support service for the elderly? Answer: in-home care. This service allows seniors to maintain their independence, safety and well-being while staying in the comfort of their own homes.

What are the senior benefits in Virginia?

What are the main benefits available for seniors in Virginia? Virginia offers various benefits for seniors, including Medicaid (Commonwealth Coordinated Care Plus), energy assistance through LIHEAP, home-based support services, and nutrition programs.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

What age is considered a senior citizen in Virginia?

Elderly person means anyone who is 60 years of age or older.

What benefits do seniors get in VA?

VA Serves Senior Veterans Veterans of any age may qualify for VA benefits, including health care, home loans, and pension. Spouses and family members caring for older Veterans, as well as older survivors of deceased Veterans, may also be entitled to VA support.

What is considered low income in Virginia for seniors?

Seniors in Virginia are considered to be on a low income for Medicaid purposes if their income is less than 80% of the Federal Poverty Level. The 2023 Poverty Guidelines list the federal poverty level as being $14,580 per year for a single person and $19,720 for a couple.

Are there extra benefits for seniors?

Supplemental Security Income (SSI) People age 65 or older or younger adults living with a disability who have very low incomes and limited savings can apply. You must visit your local Social Security office to complete your SSI application.

What is the aging population in Virginia?

In Virginia, almost 1 in 5 people are aged 60 or older, emphasizing the importance of this demographic group to the commonwealths real estate market.

Values History Form - Department For The Aging - vda virginia 2026

Here's how it works