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Y other health care providers you may have, to any health care institution at which you are receiving care, and to any health care agents you have named. You should talk to the person you have named as agent to make sure that he or she understands your wishes and is willing to take the responsibility. You have the right to revoke this advance health care directive or replace this form at any time. ***************** PART 1 POWER OF ATTORNEY FOR HEALTH CARE (1.1) DESIGNATION OF AGENT: I designate.
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