Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly
Advance Statement Template
Purpose : Template for the recording of Advance Care Planning decisions.
Admin time : x min. Variable
User Friendly : High
Administered by : Self administered, or with the assistance of a caregiver.
Content : Record of Advance care Planning decisions pertaining to Power of Attorney, Will, and End of Life decisions
Author : -

Advance Statement is part of the Advance Care Planning
domain of the Comprehensive Geriatric Assessment
Back To : Advance Care Planning

Advance Care Planning is one of 8 domains of the
Comprehensive Geriatric Assessment (CGA)
Back To : Comprehensive Geriatric Assessment
This Tool is used in preparing an Advance Statement
Back To : Advance Statement

