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WHEN TO TAKE THE CAR KEYS AWAY?
Agreement with My Family about
Driving
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To My Family:
The time may come when I can no
longer make the best decisions for the safety of others and myself. Therefore, in order to help my family make necessary decisions, this
statement is an expression of my wishes and directions while I am still able to make these
decisions.
I have discussed with my family my
desire to drive as long as it is safe for me to do so.
When it is not reasonable for me
to drive, I desire ________________ (person's name) to tell me I can no longer drive.
I trust my family will take the
necessary steps to prohibit my driving in order to ensure my safety and the safety of others while protecting my dignity. Signed
_____________________________________________
Date ______________
Copies of this request have been
shared with:
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