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Get CA Advance Health Care Directive 2004

special circumstances. If you might have special needs, consult an attorney. PART 1: APPOINTING AN AGENT TO MAKE HEALTH CARE DECISIONS NOTE: You should discuss your wishes in detail with your designated agent(s) My name is:_____________________________________ Date of Birth:________________ My address is:_______________________________________________________________ In this document I appoint an agent. That agent will make health care decisions for me in the future, if and when I no longer hav.

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