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Dear%Doctor,%
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My%Doctor's%name!!
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RE:%What%matters%most%to%me%at%the%end%of%my%life%
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"!#$%&!'&&(!)&$*+(,!$(*!-#+(.+(,!$'/0-!&(*1/213+2&!+440&4!3$-&356!"!)&$3+7&!#/8!
+9:/)-$(-!+-!+4!-#$-!"!;/990(+;$-&!95!8+4#&4!-/!5/0!$(*!95!2$9+356!"!.(/8!-#$-!5/0!
$)&!%&)5!'0456!
</0!9$5!2+(*!+-!$8.8$)*!-/!-$3.!-/!9&!$'/0-!95!&(*1/213+2&!8+4#&4!/)!5/0!9$5!2&&3!
-#$-!+-!+4!-//!&$)35!2/)!9&!-/!#$%&!-#+4!;/(%&)4$-+/(6!=/!"!$9!8)+-+(,!-#+4!3&--&)!-/!
;3$)+25!8#$-!9$--&)4!9/4-!-/!9&6!
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My%name!!
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What%Matters%Most%to%Me%
>?$9:3&4@!A&+(,!$-!#/9&B!*/+(,!,$)*&(+(,B!,/+(,!-/!;#0);#B!:3$5+(,!8+-#!95!
,)$(*;#+3*)&(!
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My%important%future%life%milestones:%
>?$9:3&4@!95!CD-#!8&**+(,!$((+%&)4$)5B!95!,)$(*4/(!#+,#!4;#//3!,)$*0$-+/(B!'+)-#!
/2!95!,)$(**$0,#-&)!
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Here%is%how%we%prefer%to%handle%bad%news%in%my%family%
>?$9:3&4@!E&!-$3.!/:&(35!$'/0-!+-B!8&!4#+&3*!-#&!;#+3*)&(!2)/9!+-B!8&!*/!(/-!3+.&!-/!
-$3.!$'/0-!+-B!8&!*/!(/-!-&33!-#&!:$-+&(-!
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Here%is%how%we%make%medical%decisions%in%our%family%%%%%%%%%%%%%%%%%
>?$9:3&4@!"!9$.&!-#&!*&;+4+/(!954&32B!95!&(-+)&!2$9+35!#$4!-/!$,)&&!/(!9$F/)!
*&;+4+/(4!$'/0-!9&B!95!*$0,#-&)!8#/!+4!$!(0)4&!9$.&4!-#&!*&;+4+/(4!&-;6!
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