the .gov means it’s official. federal government websites often end in .gov or .mil. before sharing sensitive information, make sure you’re on a federal government site. the site is secure. the https:// ensures that you’re connecting to the official website and that any information you provide is encrypted and sent securely. use va form 10-0137 to give specific people permission to make health care decisions for you, and to let va health care providers know your wishes for medical, mental health, long-term, and other types of care. form name: directrices anticipadas de va poder legal para la designacion de agente para el cuidado de salud y testamento en vida use this form to learn about your rights to accept or refuse medical treatment, and to complete a power of attorney for health care or a living will. read about your basic rights and responsibilities when you receive care at a va health facility or live in a va community center.
an advance directive lets other people know the types of medical care you do and do not want in the event you are unable to express your wishes on your own. however, you may only create an oral advance directive if you have a terminal condition and tell your wishes directly to your doctor. you can and should put your wishes in your own words. it is better to choose this person in advance and tell him or her about your health care wishes.
it means that your doctor has determined that you are likely to die soon or that you are in a persistent vegetative state, which is when you have no awareness of your surroundings and your doctors have determined you will not recover. your physicians and nurses may not discriminate against you based on your health care choices. you may also want to register your advance directive with the u.s. living will registry. a “durable do not resuscitate” (ddnr) order is a special dnr order that your doctor can provide you so that ems, fire and rescue and any health care provider will know your wishes about resuscitation.
get va form 10-0137, va advance directive: durable power of attorney for health care and living will. use this va form to name specific this section of the advance directive form is called a durable power of attorney for health care. it lets you appoint a specific person to make health care this advance directive says what i do want and what i do not want for my health care. a. who i pick to be my agent. i appoint. to make health care decisions for., va form 10 0137 pdf, va form 10 0137 pdf, va form 10-0137 2021, va form 10-0137 fillable, veterans administration durable power of attorney form.
this advance directive (“ad”) complies with the virginia. healthcare decisions act. you are not required to use this form to create an ad. if. an advance healthcare directive is a document that allows you to give your health care instructions and preferences for a time when you are unable. all adults in virginia have a right to prepare a document called an “advance directive” to put their wishes regarding medical care in writing., veterans affairs living will, va medical power of attorney, free living will for veterans, va form 10-0137 june 2020.
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