This form allows you to designate a surrogate to make health care decisions for you if you are determined to be incapacitated to provide informed consent for medical treatment and surgical and diagnostic procedures.
Florida Health Proxy Form With 2 Points
State:
Florida
Control #:
FL-P020
Format:
Word;
Rich Text
Instant download
Description
Free preview
How to fill out Florida Health Care Proxy - Designation Of Health Care Surrogate - Statutory Form?
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FAQ
Your proxy can only make decisions for you if you are too sick to make them yourself. You can specify how much control your proxy has over your medical care, including whether he or she can make a wide range of decisions or only a few specific ones.
If you're not named a health care surrogate Florida law directs your doctor to use the following list to determine a decision maker for you: Guardian (only if one has been appointed by a court) Your spouse. Your adult child or children.
If you become unable to make your own healthcare decisions and do not have a legal guardian or someone designated under a Medical Power of Attorney, then certain family members and others can make medical treatment decisions on your behalf. An advance directive does not need to be notarized.
Under Florida Statute 765.401, a medical proxy can be appointed to make health care decisions for an ?incapacitated or developmentally disabled patient? if there is no executed advance directive, if there is no designated surrogate or alternate surrogate to execute an advance directive, or if the designated or ...
Make sure your proxy knows the names and contact information for your primary care provider and any other providers . Make sure your primary care provider knows the name and contact information for your proxy . Being a good proxy means speaking for the person when they're unable to speak for themselves.