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  • Designation Of Health Care Surrogate For Minor

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Rick Scott GovernorMission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.Celeste Philip, MD, MPH Surgeon General and.

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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.

Any competent adult who is at least 18 years old can be your health care surrogate. Ask that person whether he or she agrees to act for you before you complete your advance directive.

A Power of Attorney is a document that allows a pre-selected person to make decisions for another. A Health Care Surrogate Designation only applies to health care and treatment decisions.

You might choose your spouse, an adult child, a parent, a sibling, or a close friend or relative as your health care surrogate. Your surrogate should be someone who knows you well enough to know what health care decisions you would likely make for yourself.

Designation of a health care surrogate. (1) A written document designating a surrogate to make health care decisions for a principal or receive health information on behalf of a principal, or both, shall be signed by the principal in the presence of two subscribing adult witnesses.

Does a Designation of Health Care Surrogate Need to be Notarized? No, you do not need to notarize your designation, but you will need to sign the designation before two witnesses and have the witnesses attest to your signature. At least one of the witnesses must not be a blood relative.

A health care surrogate is someone who is appointed to make health care decisions for you in certain circumstances.

This form allows a parent to name another person a “health care surrogate” for a minor child. The health care surrogate can allow doctors to treat a minor in case of an emergency or non-emergency when the parent is unavailable.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232