VIRGINIA ADVANCE MEDICAL DIRECTIVE - University of Virginia 2025

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  1. Click ‘Get Form’ to open the VIRGINIA ADVANCE MEDICAL DIRECTIVE in the editor.
  2. Begin by filling out your personal information at the top of the form, including your name and any relevant details.
  3. In the 'Durable Medical Power of Attorney for Health Care' section, appoint a primary agent by entering their name, phone number, and address. If you wish to designate a substitute agent, complete that section as well.
  4. Review the authority granted to your agent regarding medical decisions. Ensure you understand what powers you are giving them and cross through any statements you do not want included.
  5. Move on to the 'Living Will' portion. Indicate your wishes regarding life-prolonging treatments in case of a terminal condition. You can specify any particular procedures or treatments if desired.
  6. Finally, sign and date the document at the bottom. Ensure that it is witnessed appropriately as required by Virginia law.

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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.
Stated simply: A do-not resuscitate order says that if your heart stops beating, or if you stop breathing, you dont want to be resuscitated. An advance directive is more general. You can specify your wishes if you are incapacitated.
In Virginia, an advance directive must be in writing and witnessed by two adults. The witnesses can include anyone over 18, including a blood relative or a healthcare provider. Notarization is not required for the advance directive to be valid in Virginia. While involving an attorney is optional, it is not necessary.
Is the Five Wishes advance directive a legal document? Yes. It was written with the help of the American Bar Associations Commission on Law Aging. It meets the legal requirements of 46 states, but is used widely in all 50, and a federal law requires medical care providers to honor patient wishes as expressed.
Even though advance directives are legally recognized documents, there are times that a health care provider may reject a medical decision made by you or your health care proxy based on your advance directive. For example: When the decision goes against the individual health care providers conscience.
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People also ask

Types of Advance Directives Before you get started. The living will. Durable power of attorney for health care/Medical power of attorney. POLST (Physician Orders for Life-Sustaining Treatment) Do not resuscitate (DNR) orders. Organ and tissue donation.

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