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Title: ca-17.pdf Author: DOLMAIN Created Date: 6/26/2019 9:31:59 AM
INSTRUCTIONS FOR COMPLETING DUTY STATUS REPORT (CA-17) SUPERVISOR: Complete Side A and refer the form to the physician to complete Side B. Fill in the address of the Employing Agency and send a copy of this report to the OWCP address noted below. Enter the OWCP file number in the top right corner. PHYSICIAN:
This form lets you have a say about how you want to be cared for if you cannot speak for yourself. This form has 3 parts: Part 1. Choose a medical decision maker, Page 3. A medical decision maker is a person who can make health care decisions for you if you are not able to make them yourself.
Advance directives are legal documents that provide instructions for medical care and only go into effect if you cannot communicate your own wishes. The two most common advance directives for health care are the living will and the durable power of attorney for health care.
The standard advance directive form in California allows a person to do either or both: Appoint power of attorney for health care (health care agent). Give written instructions to your health care agent and health care providers.
Advance Care Planning is about making your healthcare goals, values and preferences known. It is important to plan ahead, and the best time to express yourself is now. Completing your Advance Healthcare Directive will provide comfort and guidance to the people. in your life who may, at some point, be asked to speak on your behalf.
The Advance Health Care Directive is a legally binding form that lets you exercise your right to give instructions about your own health care and/or to name someone else to make health care decisions for you in the event you are unable to speak for yourself.
