Five Wishes Living Will Form for End-of-Life Decisions
The Five Wishes form allows individuals to express their medical care preferences and make end-of-life decisions. This document ensures that your wishes are respected when you cannot communicate them. It serves as a guide for family and healthcare providers during challenging times.
Edit, Download, and Sign the Five Wishes Living Will Form for End-of-Life Decisions
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out the Five Wishes form, start by identifying a trusted person to make healthcare decisions for you. Next, indicate your preferences for medical treatment and comfort. Finally, sign and date the document to ensure it is legally valid.

How to fill out the Five Wishes Living Will Form for End-of-Life Decisions?
1
Identify your health care agent.
2
Indicate your medical treatment preferences.
3
Specify how comfortable you want to be.
4
Describe how you wish to be treated.
5
Sign and date the document.
Who needs the Five Wishes Living Will Form for End-of-Life Decisions?
1
Adults aged 18 or older need this document to express their healthcare wishes.
2
Married individuals can use it to clarify their preferences with spouses.
3
Parents may want it to establish care decisions for their children if needed.
4
Health care professionals recommend it for patients to prevent uncertainty.
5
People diagnosed with serious illnesses need it to ensure their wishes are known.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Five Wishes Living Will Form for End-of-Life Decisions along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your Five Wishes Living Will Form for End-of-Life Decisions online.
With PrintFriendly, you can easily edit the Five Wishes PDF. Simply upload the document and use our intuitive interface to make any changes. Once you've made edits, you can download the updated form with ease.

Add your legally-binding signature.
Signing the PDF on PrintFriendly is simple and secure. After editing, you can electronically sign your Five Wishes document directly within our platform. This feature ensures that your form is valid and ready for use.

Share your form instantly.
Sharing your Five Wishes PDF is effortless with PrintFriendly. You can send the document via email or share it through social media for easy access. Ensure your loved ones and healthcare providers have a copy of your wishes.
How do I edit the Five Wishes Living Will Form for End-of-Life Decisions online?
With PrintFriendly, you can easily edit the Five Wishes PDF. Simply upload the document and use our intuitive interface to make any changes. Once you've made edits, you can download the updated form with ease.
1
Upload your Five Wishes PDF to PrintFriendly.
2
Use the editing tools to make necessary changes.
3
Review your edits for accuracy.
4
Save the edited document to your device.
5
Share or print your updated Five Wishes form.

What are the instructions for submitting this form?
To submit your Five Wishes form, please follow these instructions: You can email your signed PDF to your healthcare provider and family. Alternatively, you can fax the document to your physician's office using the provided number. If you're submitting a physical copy, mail it to your doctor’s office or keep it with your important documents for easy access. Remember also to discuss your wishes with your healthcare provider.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, it is essential to regularly review and update your Five Wishes document as your life circumstances change. Consider significant dates like birthdays or health check-ups as reminders to revisit your wishes. Maintaining an updated document ensures that your preferences are current.

What is the purpose of this form?
The purpose of the Five Wishes form is to guide healthcare providers and families in making potential medical decisions on behalf of individuals who cannot voice their preferences. This document covers not only medical treatment but also emotional and spiritual needs, thus ensuring a holistic approach to care. By having a clear directive, individuals can alleviate the burden on their loved ones during tough times.

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

- 1. Person to Make Decisions: Identify the person you trust to make decisions for you.
- 2. Medical Treatment Preferences: Specify the medical treatments you want or do not want.
- 3. Comfort Preferences: Outline your desires for comfort and ease during illness.
- 4. Treatment from Loved Ones: Explain how you want to be treated by family and friends.
- 5. Messages to Loved Ones: Include any messages or wishes you want your loved ones to know.
What happens if I fail to submit this form?
Failing to submit the Five Wishes form may lead to your healthcare preferences not being followed. In absence of such documentation, family members may struggle to make decisions aligned to your wishes. It is crucial to have this form in place to ensure your choices are respected.
- Lack of Clarity: Without the form, there may be confusion regarding your wishes.
- Family Disagreements: Family members may disagree on your care without documented wishes.
- Healthcare Provider Limitations: Providers may struggle to make decisions without knowing your preferences.
How do I know when to use this form?

- 1. Serious Illness: Document your wishes during times of serious illness.
- 2. Surgery Preparation: Complete the form before undergoing major surgery.
- 3. Long-Term Care Planning: Use it for planning long-term care situations.
Frequently Asked Questions
What is Five Wishes?
Five Wishes is a legal document that allows individuals to express their medical care preferences.
Who can complete the Five Wishes form?
Anyone aged 18 or older can fill out the Five Wishes document.
How can I edit my Five Wishes PDF?
You can easily edit your Five Wishes PDF using the PrintFriendly editor.
Do I need a witness to sign the Five Wishes form?
Signing your Five Wishes form typically does not require a witness, but check local laws.
Can I change my Five Wishes document?
Yes, you can update your Five Wishes form at any time by filling out a new document.
How do I make sure my healthcare provider has my Five Wishes?
Share your signed Five Wishes document with your healthcare provider and family.
What should I do if my state doesn't recognize Five Wishes?
You can still complete Five Wishes along with your state's legal form.
Is Five Wishes available in multiple languages?
Yes, Five Wishes is available in 28 languages for broader accessibility.
How can I sign my Five Wishes PDF?
You can electronically sign your Five Wishes document using PrintFriendly's new feature.
What topics does Five Wishes cover?
Five Wishes addresses medical treatment, care preferences, comfort, and communication to loved ones.
Related Documents - Five Wishes

Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.