Form to forgoresuscitationattempts andallow a naturaldeath in thecommunityOOH-DNRDesignate aperson to makehealth caredecisions inaccordance toyour wishes whenyou cannotMPOAUpdatedannually formembers withservices andvulnerablemembersContingencyPlanDocument tomakedecision onmental heatlhtreatmentsDMHTConfinedto thebedVulnerablemember-BedboundHelpscommunicateyour futurewishes aboutmedicaltreatmentDirective toPhysiciansand FamilyorSurrogatesBMIover 40VulnerableMember-MorbidObesityMymedicationscannot beroomtemperatureVulnerablemember-RefrigeratedMedicationsForm todesignatesomeone tomake decisionsregardingpropertySDPOALease is notbeingrenewed andI have nowhere to goVulnerablemember-riskofhomelessnessLife dependson feedingpump,oxygen,ventilatorTechnologyDependenceForm to forgoresuscitationattempts andallow a naturaldeath in thecommunityOOH-DNRDesignate aperson to makehealth caredecisions inaccordance toyour wishes whenyou cannotMPOAUpdatedannually formembers withservices andvulnerablemembersContingencyPlanDocument tomakedecision onmental heatlhtreatmentsDMHTConfinedto thebedVulnerablemember-BedboundHelpscommunicateyour futurewishes aboutmedicaltreatmentDirective toPhysiciansand FamilyorSurrogatesBMIover 40VulnerableMember-MorbidObesityMymedicationscannot beroomtemperatureVulnerablemember-RefrigeratedMedicationsForm todesignatesomeone tomake decisionsregardingpropertySDPOALease is notbeingrenewed andI have nowhere to goVulnerablemember-riskofhomelessnessLife dependson feedingpump,oxygen,ventilatorTechnologyDependence

Advanced Directive and Contingency Plans - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. OOH-DNR
    Form to forgo resuscitation attempts and allow a natural death in the community
  2. MPOA
    Designate a person to make health care decisions in accordance to your wishes when you cannot
  3. Contingency Plan
    Updated annually for members with services and vulnerable members
  4. DMHT
    Document to make decision on mental heatlh treatments
  5. Vulnerable member-Bedbound
    Confined to the bed
  6. Directive to Physicians and Family or Surrogates
    Helps communicate your future wishes about medical treatment
  7. Vulnerable Member-Morbid Obesity
    BMI over 40
  8. Vulnerable member-Refrigerated Medications
    My medications cannot be room temperature
  9. SDPOA
    Form to designate someone to make decisions regarding property
  10. Vulnerable member-risk of homelessness
    Lease is not being renewed and I have no where to go
  11. Technology Dependence
    Life depends on feeding pump, oxygen, ventilator