1. Take a copy of the updated form with you whenever you leave your home and  know where your latest version is at all times.

2. Keep a copy in your wallet or backpack.

3. If you live alone have a copy near the most noticeable phone in your home.

4. Have your doctor's staff make a copy of it for your chart.

5. Make sure your pharmacist and dentist also have a current copy.

Space has been left for those who have special needs or who want to list the person named in their Durable Power for Health Care Decisions, a legal document that spells out your wishes about medical treatment if you are unable to speak for yourself.

(completed form will be the size of a credit card)