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Get CA dpa-E UCA 2016

_______________________________________________________________________ (print or type full name), fill out this document to set forth my treatment instructions and to appoint a health-care agent in case of my incapacity. 2. I am one of Jehovah’s Witnesses, and I direct that NO TRANSFUSIONS of whole blood, red cells, white cells, platelets, or plasma be given me under any circumstances, even if health-care providers believe that such are necessary to preserve my life. (Acts 15:28, 29) I refuse.

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