STEP 1: BEFORE FILLING IT OUT - Read the entire document carefully. Be sure you understand what it means and that you are comfortable with its language. Also, if you are or have already completed a Power of Attorney for Health Care, consider whether you need this document as well since these same issues could be addressed in the Power of Attorney for Health Care. If you determine you do need or want this document, proceed to Step 2.

STEP 2: FILLING IT OUT - Print your name in the first blank and then proceed to the check-offs. Paragraph 2 addresses the question of use of feeding tubes if you have a terminal condition. Paragraph 3 addresses first the question of life-sustaining procedures and then, separately, feeding tubes, if you are in a persistent vegetative state.

You are now ready for the signing. You and your two witnesses must be together. The witnesses may not be relatives by blood or marriage nor an employee of your health care provider or your health care provider's spouse. (EXCEPTION: Social workers and chaplains may witness these documents).

STEP 3: AFTER IT IS COMPLETED - Make several copies of the form. Give the original to your physician (if you have a regular physician, as opposed to a clinic), discuss your choices, and ask him or her to honor them if the situations ever arise. Discuss and consider giving copies of the document to family members and ask them, too, to honor your choices, as indicated on the form. Put one copy in a safe place at home (not in a locked bank box) and give a copy to your hospital. You may also, for a small fee, file a copy with the Register-in-Probate in your county's Probate Court office.

Complete the wallet card and put it in your wallet.