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Five Wishes

New in 2007:

Five Wishes is now valid in 40 states (click for more information)

The Five Wishes document helps you express how you want to be treated if you are seriously ill and unable to speak for yourself.  It is unique among all other living will and health agent forms because it looks to all of a person's needs: medical, personal, emotional and spiritual.  Five Wishes also encourages discussing your wishes with your family and physician.

Five Wishes lets your family and doctors know:

  1. Which person you want to make health care decisions for you when you can't make them.
     

  2. The kind of medical treatment you want or don't want.
     

  3. How comfortable you want to be.
     

  4. How you want people to treat you.
     

  5. What you want your loved ones to know.

Five Wishes is changing the way America talks about and plans for care at the end of life.  More than TWELVE MILLION COPIES of the document are circulating throughout the nation.  In addition, more than 15,000 ORGANIZATIONS are distributing this revolutionary document, including churches, synagogues, hospices, hospitals, doctor and law offices, and social service agencies.  Many employers are providing Five Wishes to their employees to help them plan for themselves and have those delicate discussions with their aging parents.

The document speaks to people in their own language, not in "doctor speak" or "lawyer talk."  It can be used in the living room instead of the emergency room.  And it helps families talk with their physician about a difficult subject.

There are a few states in which Five Wishes does not yet meet the legal requirements.  These states either require a specific state form or that the person completing an advance directive be read a mandatory notice or "warning."  Residents of these states can still use Five Wishes to put their wishes in writing and communicate their wishes with their family and physician.  Most health care professionals understand they have a duty to listen to the wishes of their patients no matter how they are expressed.

Five Wishes was introduced and originally distributed with support from a generous grant by The Robert Wood Johnson Foundation, the nation's largest philanthropy devoted exclusively to health and health care.

Contact Aging with Dignity

 

other options for ordering...

 

Preview Five Wishes

or

Cinco Deseos

View a non-printable example of:

Five Wishes
or
Cinco Deseos

(Spanish version)

This requires Adobe Acrobat Reader, which is provided for free from their website (click button below).

Get Acrobat Reader

  Five Wishes States

The complete listing of states
in which Five Wishes meets the legal requirements.

 
  Five Wishes Video

America's most popular living will is

now available in video

(VHS or DVD format)!

 

Those who complete Five Wishes, and groups that distribute the document should have this important tool.

 
Workplace Program

Are You an HR Professional?
Click Here for
"Five Wishes at Work"

Because so many employees are facing important decisions about medical care with aging or ill family members, many workplaces are offering Five Wishes as an employee benefit.

 
Five Wishes Feedback
Let us know how you feel about Five Wishes and
read what others have said.