Five Wishes Living Will and Advance Care Planning
This file provides guidance on completing the Five Wishes form, a living will that addresses personal, emotional, and medical needs. It allows you to specify your healthcare preferences and appoint a decision-maker if you become unable to voice your wishes. Use this file to ensure your loved ones understand your healthcare preferences in times of serious illness.
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How do I fill this out?
Filling out the Five Wishes document ensures your healthcare preferences are known. Begin by carefully reading each section of the form. After completing it, sign it according to the legal requirements in your state.

How to fill out the Five Wishes Living Will and Advance Care Planning?
1
Read the Five Wishes document thoroughly.
2
Complete each section by providing the required information.
3
Sign the document where indicated.
4
Inform your healthcare agent and family of your completed wishes.
5
Keep a copy of the signed document in a safe place.
Who needs the Five Wishes Living Will and Advance Care Planning?
1
Adults 18 and older, who want to express their healthcare preferences.
2
Parents wishing to outline medical treatment options for themselves.
3
Individuals diagnosed with serious illnesses wanting to communicate their wishes.
4
Caregivers seeking clear guidelines on how to manage patient care.
5
Family members who want peace of mind regarding their loved ones' wishes.
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Easily share your edited Five Wishes document with loved ones through PrintFriendly. You can send it via email or share it using social media platforms. This feature helps keep everyone informed about your healthcare preferences.
How do I edit the Five Wishes Living Will and Advance Care Planning online?
With the new editing feature on PrintFriendly, you can easily modify any part of your Five Wishes PDF document. Simply open the file, make the necessary changes, and save your edited version. This feature allows for greater flexibility in expressing your wishes.
1
Open the Five Wishes PDF in PrintFriendly.
2
Navigate to the sections you wish to edit.
3
Make your desired changes using the editing tools.
4
Review your updates to ensure accuracy.
5
Save the edited PDF to your device.

What are the instructions for submitting this form?
Once you have completed the Five Wishes form, submit it to your healthcare agent and family members to ensure everyone is aware of your wishes. Additionally, consider discussing it with your healthcare provider to keep them informed. Store the signed copies in a safe place while providing your loved ones with copies for their records.
What are the important dates for this form in 2024 and 2025?
Important dates for using the Five Wishes form may include updates to legal guidelines. In 2024, relevant state legislatures typically review healthcare directives, which might affect your form's validity. Always stay informed about local legislation changes concerning living wills and advance care planning.

What is the purpose of this form?
The purpose of the Five Wishes form is to allow individuals to clearly outline their medical and personal preferences in the event of a serious illness. This document empowers people to communicate their desires regarding treatment and care to ensure their wishes are respected. By completing the Five Wishes form, individuals can relieve their families from the emotional burden of making difficult healthcare decisions without guidance.

Tell me about this form and its components and fields line-by-line.

- 1. My Wish For: Main section where you specify your healthcare preferences.
- 2. Who Makes Decisions: Designate the person responsible for making choices on your behalf.
- 3. Medical Treatment Wishes: Detail the types of medical treatments you wish or do not wish to receive.
- 4. Comfort Preferences: Indicate how comfortable you want to be in treatment.
- 5. Treatment and Care Guidelines: State how you want to be treated by medical staff.
- 6. Personal Messages: Write anything you wish to convey to your loved ones.
What happens if I fail to submit this form?
Failing to submit the Five Wishes form can result in your healthcare preferences not being communicated effectively. This may lead to misunderstandings among family members and healthcare providers regarding your wishes. Having a clearly completed and submitted form ensures that your intentions are respected during critical situations.
- Unclear Healthcare Decisions: Without submission, your loved ones may face uncertainty about your care preferences.
- Family Conflicts: In the absence of a clear directive, family members might disagree on treatment options.
- Not Meeting Legal Requirements: Failure to submit the form may render it unenforceable under state law.
How do I know when to use this form?

- 1. Before Medical Procedures: Fill it out prior to undergoing significant medical procedures to express your treatment preferences.
- 2. During Serious Illness: Utilize the form when diagnosed with a serious illness to clarify your wishes.
- 3. For Planning Ahead: Great for anyone wanting to communicate their healthcare desires well in advance.
Frequently Asked Questions
What is Five Wishes?
Five Wishes is a living will that allows individuals to express their healthcare preferences in detail, including emotional and spiritual needs.
Who can use this form?
Anyone aged 18 or older can complete the Five Wishes form, regardless of their marital status.
How do I fill out Five Wishes?
Fill out the form by providing your personal information and preferences, then sign it according to your state’s laws.
What should I do after filling out the form?
Inform your healthcare agent and family members about your completed Five Wishes document.
Can Five Wishes be edited?
Yes, you can edit your Five Wishes document using PrintFriendly’s integrated editing tools.
How do I sign the PDF?
You can sign the PDF directly within PrintFriendly by using the new signing feature.
Is Five Wishes recognized in my state?
Five Wishes is legal in many states, but you should verify if it meets your state's requirements.
How can I share my document?
Share your Five Wishes document easily via email or social media through the PrintFriendly platform.
What happens if I don’t submit this form?
If you do not submit the form, your healthcare wishes may remain unclear, leading to confusion for your loved ones.
Are there important dates I should know about?
Check annually for any updates to laws or guidelines related to advance care planning in your state.
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