Southern Tier End of Life Coalition

The Southern Tier End of Life Coalition focuses on community and professional education that encourages adults of all ages to complete advance health care directives, have meaningful conversations with loved ones, and, through a process of reflection, begin to embrace death as an important part of eveyone's life.

SOME QUESTIONS TO ASK...

How old do I need to be to fill out Healthcare Proxy and Advance Directive Forms?
Anyone 18 years of age and older should have Advance Directives in place.

How/where can I obtain the forms for my Health Care Proxy and Advance Directives?
A variety of acceptable forms are available online at:
New York State Form:
www.nyhealth.gov
Excellus Blue Cross/Blue Shield Booklet and Form:
www.compassionandsupport.org

Or Visit Action for Older Persons for the Five Wishes Forms:
Action for Older Persons, Inc.
Colonial Plaza
30 W. State St, Binghamton, NY 13901
Online: www.actionforolderpersons.org

Who can I talk to about filling out my Healthcare Proxy and Advance Directives?
- Talk with your spiritual advisor
- Talk with your family members
- Talk with your medical provider
- Contact Action for Older Persons for one-on-one counseling and assistance with filling out the forms at (607)722-1251 or visit the website HERE.

How can I request a seminar for my employment, religious, or social group?
The End of Life Coalition is proud to offer seminars on a variety of topics by professional members. CLICK HERE to see our speakers bureau list.