Maine Health Care Advance Directive Form Page 8
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14Relief from Pain: You may check the box or fill in the blanks below to show your choice about relief of pain or
discomfort.
These are my wishes about relief of pain or discomfort:
I want treatment for relief of pain or
discomfort to be given at all times,
even if it shortens the time until my
death or makes me drowsy,
unconscious or unable to do other
things.
Other Directions:
You may give more directions or add any other treatment choices in the space below:
Page 8 of 14
Revised February 2008
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