Statement of Wishes

of ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME

I, ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME, of ACCOUNT_ADDRESS_SINGLE_LINE, being a legal adult being of competent and sound mind, make this statement and express the wish that my carer and medical practitioner have due regard to these wishes when caring for me. This statement supersedes and revokes entirely any previous letter / statement that I may have prepared in relation to my will.

End of Term Care

In the event of the end of term care, I would like to be cared for CARE.

Preferences

I have the following preferences in relation to my care:

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