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The Five Wishes

The Five Wishes document is an advance directive that helps you express your wishes in your own words regarding the kind of care you want to receive in advance of a serious illness. It aims to ensure that your wishes will be respected even if you can't speak for yourself. It is unique among all other living will and health agent forms because it covers all of a person's needs: medical, personal, emotional and spiritual.

Five Wishes lets your family and doctors know:

  • Which person you want to make healthcare decisions for you when you cannot
  • The kind of medical treatment you want or do not want
  • How comfortable you want to be
  • How you want people to treat you
  • What you want your loved ones to know

If you would like an advance directive, or need help completing one, ask your nurse or physician, or call the patient representative at 978-937-6458. When signing the document, you will need to have two witnesses present (age 18 or older) who are not named as your agents to sign the document as well. No lawyers are needed to make the form valid.

We urge you to discuss with your healthcare providers any questions that may be helpful in voicing your needs and wishes. We also emphasize the importance of discussing how you would like to be treated with your family and loved ones.

The Five Wishes document is available through our Admissions Office. It may also be obtained online or by phone for only $5. Click here to order or to learn more.

The completion of this form is strictly voluntary.

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Circle Health is a progressive collaboration of physicians, hospitals, other health providers and organizations with a shared vision for empowering people and communities to be healthier.

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