[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-382326-105":53,"doc-detail-382326-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","advance-directive-notification-wallet-card-emergency-contact-information-form","Advance Directive Notification Wallet Card - Emergency Contact Information Form","","This document serves as a pocket-sized Advance Directive Notification wallet card designed to provide critical health care information in emergency situations. It allows individuals to formally declare the existence of a health care power of attorney or an advance directive, ensuring that medical providers and first responders are aware of their specific care preferences. The card includes dedicated sections for the user's name and signature, as well as contact details for designated health care representatives to be reached if the individual is unable to speak for themselves. By promoting proactive communication with family members and physicians, this tool empowers individuals to maintain control over their health care decisions. Additionally, it provides a reference to further educational resources and online support, facilitating informed end-of-life or emergency care planning for users and their families.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/advance-directive-notification-wallet-card-emergency-contact-information-form/382326/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/advance-directive-notification-wallet-card-emergency-contact-information-form/382326.png","ImageObject",442,249,{"name":88,"@type":89},"Jake","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-21","2026-09-24",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of this wallet card?","Question",{"text":109,"@type":110},"The card serves as a portable notification that an individual has an advance directive or a health care power of attorney, informing medical personnel of their care preferences and authorized representatives.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What information should be filled out on this card?",{"text":114,"@type":110},"You should print your name and provide a signature, check the boxes corresponding to your existing directives, and list the names and phone numbers of emergency contacts or health care agents.",{"name":116,"@type":107,"acceptedAnswer":117},"Where can I find more information about these directives?",{"text":118,"@type":110},"The document provides a link to www.DKD.ORG/putitinwriting for further resources and guidance on creating your own advance directive.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},382326,1791306715,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},962084928904,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Fold   \n\n| \u003Cbr>\u003Cbr>Advance Directive\u003Cbr> N O T I F I C A T I O N \u003Cbr>Print name Signature\u003Cbr>❏ I have a health care power of attorney ❏ I have an advance directive I have talked with my family and my doctor about the care I want. If I am unable to speak for myself, please contact:\u003Cbr>Name Number\u003Cbr>(Additional names on back) |\n| --- |\n| Name Number\u003Cbr>Your life. Your terms.\u003Cbr>For more information visit:\u003Cbr>www􀀑DKD􀀑RUJ􀀒putitinwriting\u003Cbr>Number Name Number Name |\n\n✁","cbCaiub27fTM49nb","https://ap.wps.com/l/cbCaiub27fTM49nb","pdf",40505,"English","# Advance Directive Notification\n## Health Care Directives\n## Emergency Contact Information","[{\"question\":\"What is the purpose of this wallet card?\",\"answer\":\"The card serves as a portable notification that an individual has an advance directive or a health care power of attorney, informing medical personnel of their care preferences and authorized representatives.\"},{\"question\":\"What information should be filled out on this card?\",\"answer\":\"You should print your name and provide a signature, check the boxes corresponding to your existing directives, and list the names and phone numbers of emergency contacts or health care agents.\"},{\"question\":\"Where can I find more information about these directives?\",\"answer\":\"The document provides a link to www.DKD.ORG/putitinwriting for further resources and guidance on creating your own advance directive.\"}]","Advance Directive Notification Wallet Card - Emergency Contact Information Form | PDF",1790250041]