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Caravan Health
Caravan + WiserCare Advance Care Planning Survey
These questions will help us design Advance Care Planning programs and solutions that meet your needs. Thank you for your participatation.
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1.
Your contact information
Name
Organization
Email Address
2.
How do you define Advance Care Planning? (check all that apply)
Getting a completed health care proxy from a patient
Getting a completed advance directive from a patient
Discussing wishes with sick patients who are near the end of life
Discussing wishes with sick patients who are near the end of life and documenting them in the medical record
Discussing and documenting patients general health care wishes, whether or not near the end of life
Other (please specify)
Current Progress,
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