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Va 10 0137 Fillable Form 2020
Describe your preferences for how you want to be treated
l Describe your preferences for medical care, mental health care, long-term care, or other types of health
care
When you complete this form, it’s important that you also talk to your doctor, family, and other loved ones
who may help to decide about your care. You should explain what you meant when you filled out the form.
A health care professional can help you with this form and can answer any questions that you have. If you
need more...
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