Advance care planning allows you to have a voice in YOUR own medical care.

In the PREPARE program we call advance care planning medical planning.

Some ways to have a voice in your health care are to:

• Name a trusted person to make medical decisions for you in case of an emergency.
• Tell this trusted person and your doctors what is most important to you in your life and for your healthcare.
• Record your trusted person and your medical wishes in an advance directive form.

The PREPARE for YOUR Care program allows people to do their OWN medical planning.

Many people are not ready to complete a legal advance directive form and that is OK. PREPARE can help you just get started. The website and videos will walk you through the steps to begin the process of deciding what is most important to you and your health care so you can begin to share that with your loved ones and medical providers. It can also help you decide on the right medical decision maker. Even watching one video can be helpful.

You can always change your mind about your medical wishes at any time. This is your choice. If you create a PREPARE account the website will save your answers. That way, if you ever want to come back to change your answers over time, it is easy to do. Otherwise, you may need to start the PREPARE questions over from scratch.

If you change your mind about your wishes, and you have completed a PREPARE advance directive, update this form. Give the new form to your medical decision maker and medical providers. Destroy old forms.

Yes. Sometimes this person is called a surrogate or proxy decision maker, a patient advocate, or durable power of attorney for health care. However, all these terms mean the same thing.

This information can be found on Page 3 and 4 of your state’s easy-to-read advance directive. In most states, if you are not able, a medical decision maker may choose these things for you:

• doctors, nurses, social workers, caregivers
• hospitals, clinics, nursing homes
• medications, tests, or treatments
• who can look at your medical information
• what happens to your body and organs after you die

Depending on how you fill out the form, here are more decisions your medical decision maker can make:

Start or stop life support or medical treatments, such as:

• CPR or cardiopulmonary resuscitation
• Breathing machine or ventilator
• Dialysis
• Feeding Tube
• Blood and water transfusions (IV)
• Surgery
• Medicines

End of life decisions your medical decision maker can make:

• call in a religious or spiritual leader
• decide if you die at home or in the hospital
• decide about autopsy or organ donation
• decide about burial or cremation

This information can be found in Step 1 of the PREPARE website and on Page 3 of the easy-to-read advance directive.

The website says that a good medical decision maker is a family member or friend who:

• is 18 years of age or older
• can talk to you about your wishes
• can be there for you when you need them
• you trust to follow your wishes and do what is best for you
• you trust to know your medical information
• is not afraid to ask doctors questions and speak up about your wishes

A medical decision maker, sometimes also called a Durable Power of Attorney for Healthcare ONLY has a say about your medical care. They do not have a say about your finances. There is a separate durable power of attorney for finances form that can be filled out. Ask your social worker or lawyer about these separate forms.

Yes. Doctors take this very seriously. The important part is to talk to your family, friends, and medical providers about your wishes. It is also important to bring in the advance directive to your medical providers so they can put a copy into your medical record.

This form meets the legal requirements for both Durable Power of Attorney and Living Will documents for your state. Yes, you can fill out only Part 1 or Part 2. This is your choice.

This form is to act as a general guide because it is impossible to know about all the medical situations and treatments you may need in the future. Some people have had experiences themselves, with friends, or with family, or have religious beliefs that help them know they would or would not want certain treatment. If you feel strongly about a particular treatment, you can write this information on page 10 of the easy-to-read advance directive. (If you are using the PREPARE Question Guide, you can write this on page 7). The advance directive gives you space to write all the things that may be important to you about your medical care.

Note: If you want to add other wishes or attach other forms, you can place them right after page 10 of the easy-to-read advance directive. These other forms can be a part of our legal easy-to-read advance directives because all of your wishes are important.

This form is to act as a general guide because it is impossible to know about all the medical situations and treatments you may need in the future. Some people have had experiences themselves, with friends, or with family, or have religious beliefs that help them know whether they would or would not want certain treatment. If you feel strongly about a particular treatment, you can write this information on page 10 of the easy-to-read advance directive. (If you are using the PREPARE Question Guide, you can write this on page 7). The advance directive gives you space to write all the things that may be important to you about your medical care.

Note: If you want to add other wishes or attach other forms, you can place them right after page 10 of the easy-to-read advance directive. These other forms can be a part of our legal easy-to-read advance directives because all of your wishes are important.

You will have to sign and date the form. Then, every US state has its own laws for final steps to make the forms legal. Some states require witnesses, a notary public, both or neither. Page 11 of the easy-to-read advance directive lists out that state’s specific rules about how to make the form legal.

Every US state has its own advance directive law. Some states accept other states’ advance directives, but a few of them do not. In these cases, it is up to the doctor to accept an out-of-state form. If you live or visit several states, there is a BIG benefit of filling out the form on the PREPARE website. If you sign up and create an account, PREPARE can save your answers on a very safe and secure site (server).

Every US state has its own laws about witnesses. Witnesses are people who may need to sign the form saying that it really was you who filled out and signed the advance directive. Page 11 and 12 of the easy-to-read advance directive will tell you about the rules in your state for witnesses.

A notary has special training to make forms legal. They can sign and put their stamp on the form to say that it really was you who signed filled out and signed the advance directive. Notaries often charge a small fee for a signature and may take fingerprints. See page 11 of the PREPARE advance directive to see if your state requires a notary public to sign your form.

Every US state has its own laws about this and this request is different from an advance directive. Please talk to your doctor in your state about this. If you feel strongly about this issue, you can write your wishes on Page 10 of the easy-to-read advance directive. It is always helpful for your loved ones and medical providers to know the health situations that would be considered not good quality of life to you. But, right to die laws require specific forms and procedures that are very specific for that request. You would have to ask your doctor about further information in your state.

In other states, POLST may be called other names, such as POST, MOST, MOLST, or be in different colors.

Most states have POLST forms, but some states do not. Ask your medical providers about the POLST form in your state.

There are big differences between an advance directive and POLST forms.

• An advance directive is a form that you fill out about your medical decision makers and what is most important to you and your medical care. An advance directive can be completed by a person at any age or stage in health.
• The POLST form is a medical ORDER that only a doctor or medical provider fills out. That form is only about life sustaining treatment, such as CPR or going to the hospital and has checkboxes. That form does not allow you to name a decision maker. The POLST form is meant for very sick people near the end of their life.

The National POLST Paradigm website is a good place to learn more about POLST.

This video is also a great way to learn about POLST.

The National POLST Paradigm website is a good place to learn more about POLST.

This video is also a great way to learn about POLST.