Hello

Your LifeWritr: John Williams
Anyone have power of attorney over your medical decisions?
Yes
Medical Power of Attorney
John Williams
+13036422780
grantor@terrazoom.com
Details
dunno!
Medical Power of Attorney
John Raymond
222-222-1234
tongie@terrazoom.com
Details
not sure
Is there anybody you like to grant power of attorney?
Where do you wish to stay if you are incapacitated?
11521 Shimley Rd.
Golden, CO 80403
United States
Preferred Hospice Providers
My Hospice
999-999-9999
theend@terrazoom.com

 

Hospice Way
Down the Road, CA 12345
United States
If you are incapacitated, to what extent do you want life support treatments?
I want some but not all life support methods.
What life support or medical treatments would you NOT like?
Dialysis
Medical Devices to Assist Breathing
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: Jonlurie Test8
Anyone have power of attorney over your medical decisions?
Yes
Medical Power of Attorney
adsf
5308921111
j@j.com
Details
Very complicated
Is there anybody you like to grant power of attorney?
Where do you wish to stay if you are incapacitated?
asdf
asdf
asdff, Alabama 41234
Australia
Preferred Hospice Providers
adsf
5308921111
j@j.com

 

asdf
asdf
asdff, Alabama 41234
Australia
If you are incapacitated, to what extent do you want life support treatments?
I want all possible life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: Micheleferri Test8
Anyone have power of attorney over your medical decisions?
Yes
Medical Power of Attorney
Michele
14156622204
mferri@lflawoffices.com
Details
Is there anybody you like to grant power of attorney?
Where do you wish to stay if you are incapacitated?
1000 Nicasio Valley Rd
Nicasio, CA 94946
United States
Preferred Hospice Providers
Michele Ferri
4156622204

 

1000 Nicasio Valley Rd
Nicasio, California 94946
If you are incapacitated, to what extent do you want life support treatments?
I want no life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Yes
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: MicheleFerri Test8-5
Anyone have power of attorney over your medical decisions?
Yes
Medical Power of Attorney
Michele
14156622204
mferri@lflawoffices.com
Details
Is there anybody you like to grant power of attorney?
Where do you wish to stay if you are incapacitated?
1000 Nicasio Valley Rd
Nicasio, California 94946
United States
Preferred Hospice Providers
Michele
4156622204
mferri@lflawoffices.com

 

1000 Nicasio Valley Rd
Nicasio, CA 94946
United States
If you are incapacitated, to what extent do you want life support treatments?
I want all possible life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: Eric Cross
Anyone have power of attorney over your medical decisions?
No
Is there anybody you like to grant power of attorney?
Yes
Where do you wish to stay if you are incapacitated?
3665 Discovery Drive
Louisville, CO 80027
Aland Islands
Preferred Hospice Providers
Eric Cross
3037357124
ecross@nso.edu

 

3665 Discovery Drive
Boulder, CO 80027
United States
If you are incapacitated, to what extent do you want life support treatments?
I want no life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
No
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: Michele Ferri
Anyone have power of attorney over your medical decisions?
Yes
Medical Power of Attorney
af
4156866985
mferri@lflawoffices.com
Details
sdfghjkl
Is there anybody you like to grant power of attorney?
Where do you wish to stay if you are incapacitated?
1000 Nicasio Valley Rd
Nicasio, California 94946
United States
Preferred Hospice Providers
Michele
4156628983
mferri@lflawoffices.com

 

1000 Nicasio Valley Rd
Nicasio, CA 94946
United States
If you are incapacitated, to what extent do you want life support treatments?
I want all possible life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: Jlurie Test7
Anyone have power of attorney over your medical decisions?
Yes
Medical Power of Attorney
adsf
+615308921111
j@j.com
Details
Very complicated
Is there anybody you like to grant power of attorney?
Where do you wish to stay if you are incapacitated?
2309 Villanova Cir
Apt 3
SACRAMENTO, CA 95825
United States
Preferred Hospice Providers
adsf
+615308921111
j@j.com

 

asdf
asdf
asdff, Alabama 41234
Australia
If you are incapacitated, to what extent do you want life support treatments?
I want all possible life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: Jon Lurie
Anyone have power of attorney over your medical decisions?
Yes
Medical Power of Attorney
adsf
+615308921111
j@j.com
Details
asdf
Is there anybody you like to grant power of attorney?
Where do you wish to stay if you are incapacitated?
asdf
asdf
asdff, Alabama 41234
Australia
Preferred Hospice Providers
adsf
+615308921111
j@j.com

 

asdf
asdf
asdff, Alabama 41234
Australia
If you are incapacitated, to what extent do you want life support treatments?
I want all possible life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: MicheleFerri Test12
Anyone have power of attorney over your medical decisions?
Yes
Medical Power of Attorney
Michele K Ferri
4156622204
Details
Is there anybody you like to grant power of attorney?
Where do you wish to stay if you are incapacitated?
1000 Nicasio Valley Rd
Nicasio, California 94946
If you are incapacitated, to what extent do you want life support treatments?
I want all possible life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: Mic Ferri
Anyone have power of attorney over your medical decisions?
No
Is there anybody you like to grant power of attorney?
No
Where do you wish to stay if you are incapacitated?
1000 Nicasio Valley Rd
Nicasio, CA 94946
United States
If you are incapacitated, to what extent do you want life support treatments?
I want all possible life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):
Your LifeWritr: Michele Ferri14
Anyone have power of attorney over your medical decisions?
No
Is there anybody you like to grant power of attorney?
No
Where do you wish to stay if you are incapacitated?
1000 Nicasio Valley Rd
Nicasio, California 94946
United States
If you are incapacitated, to what extent do you want life support treatments?
I want all possible life support methods.
What life support or medical treatments would you NOT like?
Do you have a DNR (Do Not Resuscitate) form on file?
Please describe the relevant details of your DNR (where, etc):