Ask the Expert: How Can the Hospital Access My Mother’s Incapacity Planning Documents, If Needed?

Published: Fri, 10/04/13


 
 
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Ask the Expert: How Can the Hospital Access My Mother's Incapacity Planning Documents, If Needed?
 
Q. My mother, Jane, is 68 and has arthritis and high blood pressure, and had knee surgery last spring. She lives at the home I grew up in, in Fredericksburg, and the neighbor tells me that she needs a lot more help lately. My family moved to Arizona a while back. The last time I saw her was over a year ago, when we visited for Thanksgiving, and the children and I miss her terribly.

Unfortunately, due to work conflicts and cost, we cannot visit this year. She wants to come to Arizona with my brother, Dan, and spend some time with us next month, but her doctors and physical therapist are in Fredericksburg. I am wondering what would happen if she gets sick or injured and has to be hospitalized while she is visiting?

I tried asking her about the power of attorney documents she has in place, since I am completely unaware if she has any at all, but she couldn't explain it very well and just told me that she outlined some very detailed wishes in her documents.  Just so I know, what are documents she needs in case she becomes disabled or somehow incapacitated? Also, how can a hospital in Arizona retrieve her documents, if needed? It would give me much peace of mind about her taking the trip if we were certain they could access her wishes, should something happen to her.

A. What your mother needs to have in place are Incapacity Planning documents, which  commonly include a Financial Power of Attorney and an Advance Medical Directive.  An Advance Medical Directive (also called a Medical Power of Attorney or a Health Care Power of Attorney) authorizes another person (called a "Medical Agent"), to make decisions with respect to your mother's medical care in the event that she is physically or mentally unable to do so. This document includes the type of provisions that used to be in what was commonly called a "Living Will," allowing her to indicate her wishes concerning the use of artificial or extraordinary measures to prolong her life artificially in the event of a terminal illness or injury. This document also indicates your mother's wishes with regard to organ donation, disposition of bodily remains, and funeral arrangements. With the Advance Medical Directive, your mother appoints an agent and gives that person the power to consent to medical and health care decisions on her behalf with regard to providing, withholding, or withdrawing a specific medical treatment or course of treatment when she is incapable of making or communicating an informed decision on her own behalf.

A General Financial Power of Attorney, on the other hand, authorizes your mother's agent, sometimes called "Attorney-in-Fact," to act on her behalf and sign her name to financial and legal documents. Read more about the General Financial Power of Attorney.

Incapacity planning documents only do what your mother wants them to do if you know they exist and can locate them when you or medical professionals needs them.  If you or medical professionals cannot find your mother's Advance Directive, the burden is on you and your brother to decide whether or not to begin or continue life support. Therefore, in order for your mother's documents to be easily accessible when needed, she should be registered with an electronic archive service that can immediately fax the documents to any desired destination.

At The Fairfax Medicaid and Fredericksburg Elder Law Firm of Evan H. Farr, P.C., we offer a service called DocuBank to ensure that that the documents your mother has completed will be there when she needs them most, such as if she is hospitalized. 

DocuBank is an electronic storage and access service for healthcare directives and other important legal documents.  DocuBank stores your Advance Medical Directive, HIPAA Release, and any other legal documents you wish to store, so they are available whenever you need them.

How does DocuBank work?
  • DocuBank would transmit your mother's Advance Medical Directive to hospitals within moments, 24 hours a day, 7 days a week, around the world, so in your situation, hospitals in Arizona can gain access to your mother's documents if they are needed.
  • Your mother's documents would be stored safely in DocuBank's system and available immediately by using her Member Number and PIN Code located on a DocuBank Emergency Card.
  • Hospitals can access her documents by placing a toll free call to 1-800-DOCUBANK (to have them faxed) or by clicking the Hospital Button, or using the pop up box on the DocuBank home page (to print them immediately).
  • When a hospital calls into DocuBank, they receive a cover page listing your three Emergency Contacts with phone numbers as well as your primary doctor so that they can be reached in an emergency.
Watch this video about DocuBank for more details.

Docubank is a special service we provide to clients of The Law Firm of Evan H. Farr, P.C. who set up Advance Medical Directives such as those listed in your first question. Once you are set up, the DocuBank Emergency card arrives within 4-6 weeks of enrollment and comes with alert stickers to be placed on your driver's license. Once you receive it, be sure to carry your DocuBank Emergency Card in your wallet at all times. Hope you come by and take advantage of this great service soon!

Every adult over the age of 18 should have an Incapacity Plan that includes a Financial Power of Attorney, an Advance Medical Directive, and an Advance Care Plan.  In addition, if your mother hasn't done so already, she should start planning for long-term care. Please suggest that she call the Fairfax Estate Planning and Fredericksburg Elder Law Firm of Evan H. Farr, P.C. to set up an appointment for a no-cost consultation at 703-691-1888
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Dear Big Red,

My Aunt Edna lives in Fredericksburg. She would really like to attend a seminar and make an appointment with Mr. Farr, since she is expecting that Uncle Sid might need long-term care in the not so distant future. She only drives short distances and Fairfax is too far away for her. Is it true that you are opening a second location in Fredericksburg, and if so, are there any seminars that she can attend there?

Thanks,

Fred Rix-Berg

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Dear Fred,

Yes, we now have a second location in Fredericksburg! It is located at 501 Westwood Office Park, Fredericksburg, VA 22401 and she can call us at 540-479-1435 to make an appointment for a no-cost consultation!

Your mother can also attend a FREE Seminar: "How to Protect Your Assets from the Expenses of Probate and Long Term Care" on October 8, 15, or 24 from 10am- 12 pm. Below are details of what the seminar will cover.

  • Learn how to protect your assets and obtain valuable Medicaid and Veterans benefits to pay for long-term care.
  • Learn what the most important estate planning document is, and find out whether yours is up-to-date
  • Find out if your Will is sufficient to meet your needs, or if a Trust is a better instrument for you!
  • Find out how you can protect your assets from lawsuits, divorce, and long-term care creditors!

Seminars are held at 501 Westwood Office Park, Fredericksburg, VA 22401. She can register at www.farrlawfirm.com/seminars.html or call 540-479-1435.

In addition, during the month of October 2013, if your aunt mentions this article at her FREE consultation she can save 25% off any elder law or estate planning package. This cannot be combined with any other offer. We hope to see your aunt at our new office in Fredericksburg soon!

About Big Red:

Big Red has lived at The Farr Law Firm's Fairfax office for two years, and he belongs to Evan and Jeannie Farr. He resides on the table behind Jeannie's desk and his bowl can often be found on the hall table when you get off the elevator. He loves socializing with the African Dwarf Frogs (Ernie and Jannette) and greeting all of the clients that come to the firm. 


Grand Opening Special: Save 25% this Month at Our Second Location in Fredericksburg!
 
501 Westwood Office Park
Fredericksburg, VA 22401
540-479-1435
 
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All Fairfax events are at The Law Firm of Evan H. Farr, P.C., 10640 Main Street, Suite 200, Fairfax, VA 22030, and all Fredericksburg events at at 501 Westwood Office Park, Fredericksburg, VA 22401.  RSVP today!  We hope to see you there.
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Our next Living Trust Plus Seminar: How to Protect Your Assets from the Expenses of Probate and Long Term Care will be on Tuesday, October 8 in Fredericksburg or Saturday, October 12 in Fairfax from 10 a.m.-12 p.m.  View the calendar of upcoming seminars and sign up here.
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