INDIVIDUAL ICE (IN CASE OF EMERGENCY) FORM

When we can no longer speak for ourselves, it is helpful for families, caregivers, and others who act in our behalf to know what we would want.  With this in mind, Congregation Agudas Achim has drafted a form for recording your preferences for emergency care and final arrangements that you can share with loved ones and caretakers.  At the time of need, loved ones can consult it to feel confident they are honoring your wishes.

This instrument is intended for all congregants, but it may be especially useful to those without close family ties; those whose family members may not be familiar with Jewish customs; older congregants; and younger congregants who have certain preferences but are not yet ready to make formal, thorough arrangements.  

Our preferred funeral home is Weed-Corley-Fish
, 3125 North Lamar. Funeral Director Mitzi Chafetz, who is dedicated to caring for members of our Jewish community, has informed us that all CAA members may keep a copy of their forms at Weed-Corley-Fish; funeral personnel will check their records for it each time they care for any CAA member. You do not need to prepay to preplan, and you do not need to preplan to store this document at Weed-Corley-Fish. Centralized storage provides a backup plan if the individual(s) you entrusted with the form can’t be located, or can’t locate the form, at the time of need.

Mitzi can suggest other documents you may wish to file at WCF; she invites you to contact her with any questions you may have, at 512-452-8811 (business phone), 512-699-4247 (cell phone), or mchafetz@wcfish.com.   

This form is not a legal document and does not take the place of any legal document.  It is simply an easy way to collect confidential information to be shared with potential decision makers.

To get the most out of the form:

  • Fill out all items that are important to you.
  • Make copies and share them with at least one person you plan to keep in touch with.
  • Place a copy in the refrigerator – it’s more likely to be found there than in a drawer or other storage area.
  • Send a copy to Mitzi Chafetz, Weed-Corley-Fish Funeral Homes, 3125 North Lamar, Austin, TX 78705 (mchafetz@wcfish.com).

CLICK HERE for the form.