Shoreline Concierge Medicine
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Advanced Directive Form

An advance directive is a legal document that outlines a person's healthcare preferences in the event that they become unable to make medical decisions for themselves due to illness, injury, or incapacity. These forms are available here for those who do not have an Advanced Directive in place. If an advanced directive is already in place, you do not need to fill out these forms and we ask that you kindly bring a copy of your already in place advanced directive with you to your next office visit. 
 
Purpose:  
To ensure that a person's healthcare wishes are respected when they are unable to communicate their own decisions. 
To provide guidance to healthcare providers, family members, and legal agents regarding medical treatments, interventions, and end-of-life care. 

Importance:
Advance directives can provide peace of mind to individuals by knowing that their healthcare wishes will be followed. 
They can help avoid conflicts and legal disputes among family members and healthcare providers. 
They can ensure that a person receives the medical treatment that aligns with their values and beliefs. 
It's essential to note that advance directives vary by state and may require specific legal forms and witnesses. It's recommended to consult with a healthcare professional or attorney to create an appropriate and legally binding document. 

Click to Download the Advanced Directive Form

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Shoreline Concierge Medicine, LL is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients. To learn more about Privia Medical Group and find other Privia doctors, please visit our website
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David J. Eilbott, MD
Lara A. Colabelli, DO


5 Pequot Park Rd, Westbrook, CT 06498
​877.888.5590
​
[email protected]
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  • Home
  • David J. Eilbott, MD
  • Lara A. Colabelli, DO
  • Patient Info
  • Contact