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PERSONAL CARE PROFILE
for ____________________________ of __________, Virginia
These guidelines outline the activities and pursuits that give ____________________________’s life meaning. This document may also include personal beliefs, such as religion or spirituality, and preferences for how ____________________________ likes to be interacted with. Caretakers can use this information as a guide when performing their role and to enhance ____________________________’s quality of life.This document is not intended to be interpreted as a Last Will and Testament or Living Will. These guidelines are only intended to help family and caretakers in ensuring ____________________________’s senior years are fulfilling.
MISCELLANEOUS
InteractionI have no preferences for how caretakers interact with me.
VeteranI am not a military veteran but may be eligible for benefits through Medicaid and state-sponsored programs such as the Program of All-Inclusive Care for the Elderly.
Personal BelongingsI have not recorded the personal belongings I have with me.
SIGNING
I recognize that it may not be possible for my appointee to fulfill all of my wishes and request that my caretakers act to follow the spirit of these wishes as well as they can and within the limits of any applicable law.
Signature
Date:
_________________________
________________ ____, ________
____________________________
Last updated September 16, 2024
A Personal Care Profile is a document in which you describe your interests, beliefs, and other personal information to the person who will be responsible for your care (i.e. your caregiver) if you become ill, lose your mental capacity, or simply age.
Anyone preparing for their senior years can use a Personal Care Profile, as this document can benefit the people who support seniors as they transition away from an independent lifestyle. For example, the information in a Personal Care Profile can provide guidance in the following situations:
A Personal Care Profile and a Living Will are similar in that they both describe personal preferences when it comes to certain healthcare decisions. However, there are characteristics of a Living Will that distinguish it from a Personal Care Profile:
In contrast, a Personal Care Profile:
While a Personal Care Profile and a Living Will are two distinct documents, together they can address your personal preferences when it comes to health care decisions in several different situations (e.g. where you're dependent on a caregiver or are incapacitated). As such, these two documents are important to consider when thinking about your future and creating your Estate Plan.
A Personal Care Profile can remind a caregiver of all the ways they can help make you comfortable, whether they know you personally or not. With this document, your caregiver can learn personal details they might not have thought to ask about, which can guide their interactions with you so the experience is positive for everyone involved.
LawDepot's Personal Care Profile template allows you to provide information about your preferences regarding:
Sample
Personal Care Profile
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