The "blood" card was updated at one point, so current jws at that time were "encouraged "to get the new one throw away the old one. But not required returned from d'fd by elders. Meeting Workbook January 2024 Durable Power of Attorney (DPA) Card and Identity Card (ic): These cards outline a patient’s wishes concerning the medical use of blood. Baptized publishers can obtain from the literature servant a DPA card for themselves as well as an Identity Card for their minor children. These cards should be kept on our person at all times. If you need to fill one out or update one, do not procrastinate."
2016https://www.jwfacts.com/pdf/blood-2016-Medical-Directive-dpa-E.pdf This 2016 one seems to be the most current. Because the WTS has constantly "adjusted" this document, the WTS wants the individual jw to have the most current, so the medical/legal community is not "confused" and everyone is on the same page, and destroy the old one. Does anyone remember when new cards were handed out at the old book study (small groups) and fill it out there and have the conductor sign it? WTS taking control of having it done.
If now accepting blood transfusions, give document to doctor, hospital, and any place you gave your old HC-POA. Experience from here on JWN: https://www.jehovahs-witness.com/topic/95897/elders-will-notified-will-find-you-hospital