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Free advance directives forms and
Free national registration of your final wishes
Free Advance Directives
Final Exit Network partnered with the U.S. Living
Will Registry to provide members with free access to advance directives
kits.
Click here for
state-by-state listings of living
wills and durable powers of attorney for healthcare—also called proxies or surrogates.
| Please note: the official Washington State forms available through the Registry contain strong language opposing hastening death. California’s forms are not formatted properly, so they are awkward to use. You may wish to use forms available elsewhere. Caring Connections, through the National Hospice and Palliative Care Organization, also offers free on-line access to advance directives kits. Click
here to access their state-by-state forms. The Washington State forms available here do not contain the offending language, and the California forms are well laid out. Those of you from other states may also wish to choose the forms that best suit your needs.
Caring Connections took over the excellent advance directives initiative launched years ago by Partnership for Caring
and funded by a grant from the Robert Wood Johnson Foundation.
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You may also type this URL into your browser: www.uslivingwillregistry.com/
Then click the Advance
Directives Forms tab on the
Registry’s site.
If you have difficulty accessing these documents,
write to the Network, and we will print and mail copies of the
documents you need directly to your home.
Free Registration
Final Exit Network’s partnership with the Registry – as a Member
Community Partner – ensures that your advance directives and emergency contact information
are available when you need them, wherever you are.
The U.S. Living Will Registry is a nationwide service
that stores your final wishes electronically and makes them available
24 hours a day to
healthcare providers across the country. Your advance directives—living will,
healthcare proxy, or both—are made available to your family and doctors when
you need them most: when you’re too sick to communicate your wishes.
Registered Members receive notification by mail,
along with labels to attach to your driver’s license (or photo ID) and health insurance card
stating that you are registered with the U.S. Living Will Registry, and a
wallet card listing your Registration number. Once registered, you are registered
for life. You will have peace of mind knowing that your wishes will be available
whenever and wherever they are needed. Your family will not have to make difficult
decisions on your behalf, and by having your wishes available, the problems
that can occur when family members disagree about treatment will be avoided.
Final Exit Network is excited to offer this valuable
service to our Members only at no charge
as a benefit of membership. Network Members who
wish to register their advance directives with the Registry should
contact the Network to request the Network’s official “source code” which will give
you the authority to submit your documents to the registry through the Network’s
partnership with the Registry.
Please request the official source code by sending
the following information:
~~~~~~~~~copy/paste this form~~~~~~~~~~~
I am a member of Final Exit Network. I wish to
register my advance directives with US Living Will Registry.
Name: ________________________________________
Address: ________________________________________
City: ___________________ ST ____ Zip __________
Phone: ________________________________________
Member #: ________________________________________
Please send me the source code required to register my documents
~~~~~~~~~~end of form~~~~~~~~~~~
Send email:
info@finalexitnetwork.org with the subject
line “Advance Directives
Registry”
or US Mail:
Final Exit Network
P.O. Box 965005
Marietta, GA 30066
Final Exit Network and the U.S. Living Will Registry – just another way
we show that the needs of those who are suffering are paramount.
Registration of each individual’s advance directives
costs the Network approximately $10 per year. Your donations to support this important effort are
welcome.
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