MLPD - Making a Will to Live: 10. Wallet Sized Will to Live

A Voice of People with Disabilities in Manitoba

<< 9. Conclusion | 11.1. Document Copy for Your Physician >>
10. Wallet Sized Will to Live

Name: _______________________
Address: _____________________
Mb. Health # __________________
ATTN: I have directions for medical care preferences on file
These are located ______________

If I am unable to communicate, contact my proxy immediately
Proxy______________________
Phone #______________
Alternate ___________________
Phone # _______________

Instructions:
Remove card and fold in half to fit into wallet.

<< 9. Conclusion | 11.1. Document Copy for Your Physician >>

Making A Will To Live - Contents

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