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Get WA Limited Power Of Attorney

R legal guardian (hereinafter called parent), domiciled and residing in Country , designate name(s) of Attorney-in-Fact as my Attorney(s)-in-Fact to make health care decisions for my child name of Child (hereinafter called Child) over whom I have legal custody and guardianship. This limited power of attorney is effective if my Child s parent or legal guardian is not readily available and authorized to give consent or until my Child reaches the age of 18, or ceases to have an active SEVIS.

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