Thinking ahead: advance statement template

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Advance care planning allows you to think ahead about what’s important to you, and what you might want to happen if your health changes. One of the steps in advance care planning is to make an advance statement. This is a way to document your wishes so that your family, and the health professionals involved in your care, are aware of what you’d like to happen if you’re unable to make decisions yourself. Our Thinking ahead: advance statement provides a template to support you to record your wishes. It is best used alongside the Thinking Ahead book.

Advance care planning allows you to think ahead about what’s important to you, and what you might want to happen if your health changes. One of the steps in advance care planning is to make an advance statement. This is a way to document your wishes so that your family, and the health professionals involved in your care, are aware of what you’d like to happen if you’re unable to make decisions yourself. Our Thinking ahead: advance statement provides a template to support you to record your wishes. It is best used alongside the Thinking Ahead book.

It includes space to document:

  • Information about you
  • Your daily routines and preferences
  • Your religious or spiritual needs
  • What you’d like people to know about your health
  • Your priorities for your health care
  • People you would like to be involved in discussing your care
  • Health professionals that know you
Format

Digital download

Publication information

Date published: March 2024
Pages: 8

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