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Table of Contents

  1. Statement Template Bundle
  2. 5 Steps To Make an Advance Statement
  3. 17+ Advance Statement Templates in DOC | PDF
  4. 1. General Advance Statement Template
  5. 2. Advance Statement Template
  6. 3. Care Planning Advance Statement Template
  7. 4. Sample Advance Statement Template
  8. 5. Advance Care Planning Statement Template
  9. 6. Simple Advanced Statement Template
  10. 7. Decision Advance Statement Template
  11. 8. Information Advance Statement Template
  12. 9. Advance Statement Form
  13. 10. Revocation of Advance Statement Template
  14. 11. Mental Health Advance Statement
  15. 12. Advance Statement Example in PDF
  16. 13. Self Advance Statement Template
  17. 14. Policy Advance Statement Template
  18. 15. Sample Decision Advance Statement Template
  19. 16. Advance Receipt Statement Template
  20. 17. Advance Statement of Wishes

17+ Advance Statement Templates in DOC | PDF

An advance statement is a document that speaks about someone’s preferred way of treatment in the future for their wellbeing. This document consists of the interests of the patient in various areas and the ways of treatment that can be chosen by the doctors consulting him/her. So if you need to make the advance statement, you can refer to the statement templates.

Statement Template Bundle

statement template bundle
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5 Steps To Make an Advance Statement

Step 1: Details Of the Person

An advance statement should include the correct details of the person or the patient. The details like the name, the address, the birth details, etc. So you have to make sure that no mistake on that part is done by you.

Step 2: Preferences/ Interests

The most important part of an advance statement is the preferences of the patient. That will include the kind of treatment that the patient wants, the people that he/she loves the most, the things or activities that he/she loves to do. This will give the doctors as well as the nurses an idea of the patient and the things that he desires in the course of treatment and after too.

Step 3: Emergency Contact Details

There needs to be a section that underlines the details of the people/ person that the patient wants to or doesn’t want to contact. The emergency contact details will also give the doctors an idea about the people that the patient is close to and care about. So this is another piece of important information that needs to be included in the statement.

Step 4: Signature

The statement includes all the choices and preferences of the patient. So it should have a column for the signature of the patient that will prove that the statement is valid and therefore is proven.

Step 5: Revision

After you are done carrying out all the steps in a chronological order, you need to make a check on the process. Check whether you have missed out on any important piece of information. If yes then make room for the edits and the changes or any additions.

17+ Advance Statement Templates in DOC | PDF

1. General Advance Statement Template

general advance statement templatechoiceforum.org
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  • Doc

Size: 9.2 KB

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A general advance statement includes the preferences, wishes, beliefs that a person has towards various areas of life. So if you need to make one, here is a sample that is provided with all the areas mentioned in a perfect manner. If you need to make one, then you can refer to this given sample. It will help you to make it in an instant. We also have statement templates in Pages format for you.

2. Advance Statement Template

advance statement templatecandi.uk
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Size: 45.1 KB

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An advance statement allows an individual to keep a record of how he/she wants to be treated. It has sections that allow the one to cite the ways in which she/ he likes to be treated and the opinions on various issues. So this kind of statement can be made very easily if you have a reference material to look up to.You can download the given sample right away and make the statement in a jiffy.

3. Care Planning Advance Statement Template

care planning advance statement templatehacw.uk
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  • PDF

Size: 384.4 KB

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A care planning advance statement includes the preferences, the interests and the ways in which a patient wishes to be treated. If this information is provided in the statement then it will give the doctors and the nurses an idea about how the patient should be treated. So here is the best sample that you can use to make the statement in no time. You have a choice of using the statement templates in Docs format too.

4. Sample Advance Statement Template

sample advance statement templateoxfordhealth.uk
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To make an advance statement, you will have to fill up a form. that form will record all your interests and preferences. So to make the form you can select the given sample file. It can be downlaoded at any point in time. So just download it and then design the form conveniently.

5. Advance Care Planning Statement Template

advance care planning statement templatenortherncanceralliance.uk
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Size: 296.5 KB

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It is very importnat to try to know about tteh patient and what kind of treatment he or she desires. So you need a statement for that which is going to highlight the p]refernces and teh likes of the patient. Here is an advance care planning statement, that keeps track fo the patient and teh interests. To have access to it, download it in an instant and make the form.

6. Simple Advanced Statement Template

simple advanced statement templatefocusadultsocialwork.co
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  • PDF

Size: 230.9 KB

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To make a very simple advance statement that includes the details of the patient and teh contact details of some of hisd kin members. If you need to make that form, then here is teh best sample file fore you. It includes all the necessary details that you need to include in it. Get your hands on this sample and then design the form.

7. Decision Advance Statement Template

decision advance statement templaterochelegal.co
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An advance decision is a legally binding document that sets out the circumstances a person would want to refuse a specific medical treatment in the future. This is a very important document that all individuals should have it made. While you search for a perfect sample to make the statement, here we have the best one to help you make it in a jiffy. Download it and then make the statement.

8. Information Advance Statement Template

information advance statement templatederbyshirehealthcareft.uk

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Size: 12.9 KB

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An advance statement about information sharing, here is the best file that you can rely on. So this file includes all the necessary details and information that you need to while making the statement. To get your hands on this statement sample you can instantly download the sample and design the statement in a jiffy.

9. Advance Statement Form

advance statement formfightforkids.co
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Size: 22.6 KB

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To make an advance statement form, with all the inclusion of the interests, preferences, and desires, you can select the given file format. It is available for you to download easily. It is not that difficult to make if you have a reference material like this one to look at and take ideas from. Just download it and make the statement in an instant.

10. Revocation of Advance Statement Template

revocation of advance statement templatemhapwl.org
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Size: 5.1 KB

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After you make an advance statement, you might want to withdraw the statement for reasons innumerable. So if you want to do so, there is a particular form for that. That form includes the details of that particular person and the witness. And after that, the statement legally gets withdrawn. So if you want to make that form, here is the document sample for that. Download it and then make the form in an instant.

11. Mental Health Advance Statement

mental health advance statementvox.mtcserver.com
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  • PDF

Size: 169.5 KB

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A patient may become unexpectedly unwell in the future and experience difficulty in expressing the views on treatment. For that he/she is allowed to cite those information in advance, when nhe/she is physically well. So there is this mental health davance statement, for mental unwellness of the patient. If you ened to make one, then dpownlaod the given sample file and then make the statement.

12. Advance Statement Example in PDF

advance statement exampleinformation.pods-online.org
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Size: 424.2 KB

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To make an advance statement, you need the proper details of teh person, the care coordinator, the psychiatrist(if mental), and the contact details to contact and to not contact during any emergency. So all of this are included in thsi davance statement. If you are in a requirement of this, then download the given sample and then design the form in an instant.

13. Self Advance Statement Template

self advance statement templateovergatehospice.org
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Size: 236.8 KB

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For making a self advance statement, here is a sample that you can take the help of. It consists of the kind of health care that the patient wants, the ways in which he/she wishes to get treated. This is a self advance statement. If you need to make one, you can just download this sample and then make the form.

14. Policy Advance Statement Template

policy advance statement templatecwp.uk
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Size: 77.9 KB

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If you want to make a policy for an advance statement, that underlines the guidance to staff in supporting service users who wish to make an advance statement. So this is a very importantr document. If you wish to make one, then you can go for the given example file. It will provide you with the required ideas that you need to have while makking the documemnht. Just downlaod the given PDF sample and make the policy.

15. Sample Decision Advance Statement Template

sample decision advance statement templatemarketingofmadness.org
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  • PDF

Size: 276.4 KB

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An advance statement/ decision by a patient is not a very difficult document to make. If you have a file format to look up to and gather references, then it is definitely easy to make. Get this file downlaoded in a jiffy and then you will be able to make the statement easily.

16. Advance Receipt Statement Template

advance receipt statementacpsd.net
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  • PDF

Size: 40.6 KB

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To make a fund advance receipt and statement, here is the best sample that you can take the help of. It has all the detaiils taht you will need. So just get access to this given sample and design the advance receipt in an instant in no time. Ther are statement templates in Word format for you on the website too.

17. Advance Statement of Wishes

advance statement of wishesbrightonandhoveccg.uk
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Size: 87.0 KB

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