If I decide to create my own PAD form, what must it contain?

The PAD form must contain the following:

  • Name, date of birth, and gender
  • Eye color and hair color
  • Race or ethnic background
  • Instructions concerning behavioral health treatment
  • Instructions concerning medication
  • Including primary and alternative instructions
  • Instructions concerning alternative treatment
  • Instructions concerning appointing agent or not appointing an agent
  • If the person decides to appoint an agent, they must include the agent’s information. Click here to view what information is required. 
Category: Creating Your Own PAD Form

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