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Advance Directive for Dementia

How much medical care would you want if you had Alzheimer’s disease or another type of dementia? This form is free to download and use as an Alzheimer’s-specific living will.

Fill it out now, share it with your loved ones, then give a copy of it to your doctor. Provide guidance now. Feel better that you’ll get the medical care that you would want. Help your loved ones if they are faced with making difficult decisions on your behalf.

This directive was developed by Barak Gaster, MD with help from experts in the fields of geriatrics, neurology, and palliative care. Dr. Gaster can be reached at

Important Articles  on Patient Rights Regarding Dementia Directives

Stalked by the Fear That Dementia Is Stalking You – The New York Times

Dementia Patients Aren’t in Their ‘Perfect Mind.’ Then Again, Who Is?

Stay in Control of Your Life and Care During a Dementia Diagnosis: Identify your personal values and provide clear care instructions to your loved ones as you deal with a dementia diagnosis.

Diagnosed With DementiaShe Documented Her Wishes for the End, Then Her Retirement Home Said No. -Washington Post