WebTo make your own health care choices, go to Part 2 on Page 7. If you are done, you must sign this form on Page 13. Please share your wishes with your family, friends, and … WebINSTRUCTIONS FOR HEALTH CARE . I authorize my health care surrogate to: (Initials required in blank spaces below.) _____ Receive any of my health information, whether …

Maryland Attorney General - Advance Directives - Brian Frosh

http://www.dhhr.wv.gov/bcf/policy/Documents/Health%20Care%20Surrogate.pdf WebApr 10, 2024 · Your health care surrogate is a person you authorize via a Designation of Health Care Surrogate form to make medical decisions for you when you are unable to make your own decisions. It is important … scf40x2

North Carolina Advance Health Care Directive

WebHealth Care Decision Forms; HealthCare Decision Forms. Below are the Health Care Decision Forms that were adoption until which Boarding of Health on October 24, 2013 pursuant to the Mental Care Decisions Actions (Act 1264 concerning 2013). WebYou should give a copy of this completed form to people who might need it, such as your health care agent, your family, and your physician. Keep a copy of this completed form at home in a place where it can easily be found if it is needed. Review this completed form periodically to make sure it still reflects your preferences. WebThis form does not impose a duty on your health care agent to exercise granted powers, but when a power is exercised, your health care agent will be obligated to use due care to act in your best interests and in accordance with this document. This Health Care Power of Attorney form is intended to be valid in any jurisdiction in which it is rural property for sale taree area