Fillable Maine Health Care Advance Directive Form (Page 11 of 14) in pdf

Maine Health Care Advance Directive Form Page 11

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Part 5 – Instructions About

Funeral and Burial Arrangements

This section is optional. Fill out this part only if you wish to give special instructions about your funeral

or burial arrangements here.

I hope that my family will follow my wishes after I die as noted below.

I choose _____________________________________________________________ to have custody

and control of my body after my death with the right to decide everything about my funeral and burial.

I want my family to know these are my wishes about: burial, cremation, funeral, or memorial service.

(Fill in)

________________________________________________________________________________________

If you plan to die at home, talk with your physician and funeral director about your plans. When you die, your

family or agent should call your physician and the funeral home you have chosen. The funeral home staff will

pick up your body from your home.

Page 11 of 14

Revised February 2008

Maine Health Care Advance Directive Form Page 11

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