THE VILLAGES

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Life Support

I desire that my doctor make a concerted effort to return me to an acceptable quality of life using then available treatments and therapies.

Life-Sustaining Treatment

Some people do not wish to have certain life sustaining treatments under any circumstance, even if recovery is a possibility.

End Of Life Wishes

(hospice care, funeral arrangements, etc.)

When I am near death, it is important to me that:(Required)

Power Of Attorney

It provides peace of mind to be able to choose someone you know and who knows you to make healthcare decisions on your behalf when you no longer can communicate your wishes.

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Secondary Agent

If you primary agent is unwilling or unable to serve, who do you appoint as your successor agent?

Successor Phone

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The Villages

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The Villages

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The Villages

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Life Support

Life-Sustaining Treatment

End Of Life Wishes

Power Of Attorney

Secondary Agent

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