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Reference:1414714 (Advance Health Directive (Medical) NSW)

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Subject
What is the name of the person making the Advance Health Directive? This person is referred to as the "Subject" throughout the following questions.
What is the address of the Subject?
What is the occupation of the Subject?
What is the date of birth of the Subject?
(dd/mm/yyyy)
Life sustaining measures and palliative care
Do you want to make general directions regarding life sustaining measures and/or palliative care in relation to your general medical condition or specific medical conditions, in the event that you are incapable of making such decisions for yourself and you have no reasonable prospect of recovery? Help Text
Do you want to allow treatment aimed at prolonging your life? Help Text
Do you want to make specific directions regarding certain life sustaining medical procedures or treatments in relation to your general medical condition or specific medical conditions, in the event that you are incapable of making such decisions for yourself and you have no reasonable prospect of recovery? Help Text
Religious beliefs
Do you want to make directions regarding your religious beliefs which may affect your medical treatment?
Organ and tissue donation
Do you want to make directions regarding the donation of your organs and tissue?
Do you want to make directions related to receiving organ and tissue donations?
Blood Transfusions
Do you want to receive blood transfusions?
Responsible person to make medical decisions
Do you want to nominate a specific "responsible person" to make medical decisions for you in consultation with your treating clinician when you are incapable of making such decisions?
Treatment for existing condition
Do you want to list specific treatment preferences relevant to an existing medical condition?
People not to be contacted
Do you want to specify certain people that you do not want to be contacted about your medical treatment?
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