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If you're concerned that you may become ill in the future and that there are specific medical treatments that you don't want to receive, you can fill out this form now to determine your wishes.

For example, should you suffer from a terminal illness, you can make an Advance Decision to refuse treatment that will prolong your life. Alternatively, the form can be used to refuse a blood transfusion or organ donation on religious reasons.

What an Advance Decision can do:

• It will only come into effect if you're unable to convey your wishes because you're mentally or physically incapable to do so.
  
  
• It allows you to specify precisely the kind of treatment and circumstances in which your wishes will take effect.

• It cannot be used to make non-medical decisions, such as your financial matters (including how your care should be paid for). In this case, you should use Lawpack's Power of Attorney Kit.
  
  
• It doesn't take effect if circumstances occur which you didn't anticipate at the time that you made the Advance Decision.

Drafted by solicitors for straightforward completion, each Pack contains four copies of the form and includes a completed example with guidance notes on filling it in.

Valid in England & Wales only.