Every adult may accept or refuse any recommended medical treatment.


Review the six illness scenarios.
 
For each scenario, identify your general goals for care and select the specific interventions you want.
 
Specify your wishes for treatment options.
 
Discuss your wishes and complete the form with your physician and your proxy.
 
In the Personal Statement section, provide additional instructions for your proxy or physician.
 
In the Organ Donation section, provide your personal choices about donating your organs for transplantation.
 
In the Proxy section, designate your proxy or proxies and provide any specific instructions you want them to follow
 

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