Advance directive for healthcare georgia northside hospital form 2025

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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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[This form does not need to be notarized and a copy of a validly executed advance directive for health care carries the same meaning and effect as the original document.]
Get Advance Directives Call Us. Toll-Free: (866) 552-4464. Message. Online Form. Mail. 47 Trinity Ave. Hours. Eastern Time Zone.
What are advance directives? Advance directives are legal documents that provide instructions for medical care and only go into effect if you cannot communicate your own wishes. The two most common advance directives for health care are the living will and the durable power of attorney for health care.
Whether or not your home state calls for an official notarization by a notary public, every state in the U.S. requires your advance directive to be signed by witnesses. Some states require both witnesses and notary publics to sign advance directives.
Advance directives need to be in writing. Each state has different forms and requirements for creating legal documents. Depending on where you live, a form may need to be signed by a witness or notarized. You can ask a lawyer to help you with the process, but it is generally not necessary.
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People also ask

The PSDA requires hospitals, skilled nursing facilities, home health agencies, hospice programs, and Health Maintenance Organizations (HMOs): To give patients information on their state laws about their rights to make decisions about their care. To find out if patients have an advance directive.

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