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Get Authorized Surrogate Designation Form - Temple
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How to fill out the Authorized Surrogate Designation Form - Temple online
Filling out the Authorized Surrogate Designation Form is an important step in ensuring that you have the support you need in managing your services. This guide will provide clear, step-by-step instructions to help you navigate the form with ease.
Follow the steps to complete the Authorized Surrogate Designation Form successfully.
- Press the ‘Get Form’ button to access the form and open it in the designated editing tool.
- Begin by checking the appropriate box to indicate whether you require a surrogate or not. If you are able to self-direct your support services, select the first option and proceed to the Signatures section.
- If you need a surrogate, provide your name, or the name of your legal guardian or Power of Attorney in the designated fields, and clearly state the authorized surrogate's name.
- Fill in the surrogate's address, telephone number, and email address accurately to ensure proper communication.
- In the section about the relationship of the surrogate to you, specify the nature of the relationship to provide context.
- The surrogate should acknowledge their understanding of their responsibilities by signing and dating the form. Ensure their signature reflects their agreement to act as a surrogate.
- Finally, sign and date the form as the individual or have your legal guardian or Power of Attorney do so, if applicable. Check that the signature dates are accurate.
- Once all sections are completed, you can proceed to save changes, download, print, or share the form as needed.
Complete your documents online today to ensure your support services are managed effectively.
The document that designates a surrogate decision maker is often a healthcare proxy or an Authorized Surrogate Designation Form - Temple. It specifies who takes over medical decisions when a patient is incapacitated. Having this form in place ensures that your healthcare wishes are honored, even when you can't articulate them.
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