Paper version

Thinking about removing an external central line

For a Hickman, Broviac, or PICC

The paper version is a blank worksheet you can fill in by hand and bring to your care team. One side explains what may change. The other side is where you mark what matters most to you and which way you are leaning.

It prints on one sheet of letter paper, front and back.

Print double-sided and choose “Flip on long edge.”