Advance directive for healthcare georgia northside hospital form 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part One, where you will appoint a health care agent. Fill in their name, address, and contact information. This person will make decisions on your behalf when you are unable to do so.
  3. If desired, select a back-up health care agent in the designated section. Provide their details to ensure continuity of care.
  4. Move to Part Two to express your treatment preferences. Indicate conditions under which this part becomes effective by initialing the appropriate boxes.
  5. Specify your treatment preferences by choosing options A, B, or C regarding life-sustaining procedures and nutrition. You can also add any additional statements that reflect your values.
  6. In Part Three, if you wish, nominate a guardian who can be appointed by a court if necessary.
  7. Finally, complete Part Four by signing the document in front of two witnesses who meet the specified criteria. Ensure all signatures are dated correctly.

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