Helpscommunicateyour futurewishes aboutmedicaltreatmentDirective toPhysiciansand FamilyorSurrogatesDesignate aperson to makehealth caredecisions inaccordance toyour wishes whenyou cannotMPOAForm todesignatesomeone tomake decisionsregardingpropertySDPOABMIover 40VulnerableMember-MorbidObesityConfinedto thebedVulnerablemember-BedboundLease is notbeingrenewed andI have nowhere to goVulnerablemember-riskofhomelessnessDocument tomakedecision onmental heatlhtreatmentsDMHTMymedicationscannot beroomtemperatureVulnerablemember-RefrigeratedMedicationsUpdatedannually formembers withservices andvulnerablemembersContingencyPlanLife dependson feedingpump,oxygen,ventilatorTechnologyDependenceForm to forgoresuscitationattempts andallow a naturaldeath in thecommunityOOH-DNRHelpscommunicateyour futurewishes aboutmedicaltreatmentDirective toPhysiciansand FamilyorSurrogatesDesignate aperson to makehealth caredecisions inaccordance toyour wishes whenyou cannotMPOAForm todesignatesomeone tomake decisionsregardingpropertySDPOABMIover 40VulnerableMember-MorbidObesityConfinedto thebedVulnerablemember-BedboundLease is notbeingrenewed andI have nowhere to goVulnerablemember-riskofhomelessnessDocument tomakedecision onmental heatlhtreatmentsDMHTMymedicationscannot beroomtemperatureVulnerablemember-RefrigeratedMedicationsUpdatedannually formembers withservices andvulnerablemembersContingencyPlanLife dependson feedingpump,oxygen,ventilatorTechnologyDependenceForm to forgoresuscitationattempts andallow a naturaldeath in thecommunityOOH-DNR

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