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Advance Directive for Health Care Form - Connecticut
A Connecticut Advance Directive is a set of written legal instructions regarding an individual's wishes and preferences for medical care that become effective in the events when they are unable to make decisions for themselves. If a patient does not have their health care wishes specified, these decisions can be placed in the hands of family members, doctors, or even judges, who may know very little about what the patient prefers. Download a ready-made directive through the link below or create your own form with our form builder.
There is a difference between an Advance Directive for Health Care and a Living Will in Connecticut. The former comes into force in all cases when an individual is too ill to communicate or unconscious. The latter is a specific type of directive that takes effect when a patient is terminally ill and only lists decisions about life-sustaining medical procedures.
A Connecticut Advance Directive is defined and regulated by Chapter 368w (Removal Of Life Support Systems) of the Connecticut General Statutes . The document must be witnessed by two (2) or more individuals.
What Is a Connecticut Advance Directive?
An Advance Directive is a series of forms that specify an individual's medical treatment preferences and become effective if the individual becomes terminally ill, is seriously injured, in the late stages of dementia or in a coma. The document includes a Living Will and a Medical Power of Attorney - otherwise known as a Health Care Power of Attorney or a Health Care Proxy.
- Living Wills and written for health care professionals and specify the types of life-prolonging treatments or procedures to perform if the individual is in a terminal condition or in a persistent vegetative state.
- A Medical Power of Attorney allows the individual to name a health care proxy to make medical decisions if they become unable to make those decisions for themselves. It is important that the designated proxy knows and understands the patient's wishes and preferences and has a written copy of the Advance Directive for Health Care.
How to Write an Advance Directive in Connecticut?
Creating an Advance Care Directive in Connecticut usually features the following steps:
STEP 1 - Elect a health care proxy - or agent - to make medical decisions on your behalf. Be sure to choose a person willing to respect and follow your wishes
STEP 2 - Write down your wishes regarding any limitations in medical treatment. Specify whether you agree to be on a dialysis machine, extracorporeal membrane oxygenation (ECMO) machine, receive CPR or take antibiotics to treat infections
STEP 3 - Make decisions regarding the possibility of organ and tissue donation and state your preferences regarding burial and the disposition of remains.
STEP 4 - Keep the original signed and certified form, hand a copy out to your agent and ask your doctor to keep a copy of your document with your medical records.
Download Advance Directive for Health Care Form - Connecticut
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