Worksheets

Here is the complete set of Planning My Way worksheets to help you as you work on your advance care plan.

This worksheet will help you choose the best spokesperson for you. Your spokesperson should be a competent adult.

This worksheet will help you define your wishes in various scenarios. As you complete this worksheet, remember that the purpose in each situation is to imagine a time when you’ve lost the ability to make your own health care decisions.

Many people have special personal or spiritual beliefs that they want to have respected in decisions about life-sustaining treatments. Use this worksheet to discuss your choices with your spokesperson, loved ones, and health care providers.

Use this worksheet to communicate information about your emergency contacts.

Use this worksheet to discuss your choices about how you’d like care to be provided for your children, pets, or home.

This worksheet will help you let your doctors and loved ones know your wishes for mental health care if you have a serious mental health condition.

Share your wishes regarding life-sustaining medical treatments that would keep you alive for a period of time but would not cure you or make you better.

Use this worksheet to discuss your choices regarding what would be important to you at the very end of your life.

Use this worksheet to communicate your preferences regarding organ donation to others.

Use this worksheet to communicate your preferences for burial and funeral arrangements.

To appoint a spokesperson and complete an advance directive, choose a legal document in your state from the list below. (Please enable popups for this link to work.)