Florida Health Proxy Form With Notary

State:
Florida
Control #:
FL-P020
Format:
Word; 
Rich Text
Instant download

Description

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.
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  • Preview Health Care Proxy - Designation of Health Care Surrogate - Statutory Form
  • Preview Health Care Proxy - Designation of Health Care Surrogate - Statutory Form

How to fill out Florida Health Care Proxy - Designation Of Health Care Surrogate - Statutory Form?

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FAQ

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. After you and the witnesses have signed, your designated surrogate should receive a copy.

Durable power of attorney for health care: A durable power of attorney for health care is a legal document that names your health care proxy, a person who can make health care decisions for you if you are unable to communicate these yourself.

Neither of the witnesses can be an appointed health care surrogate, and at least one witness cannot be a spouse or a blood relative. The Designation of Health Care Surrogate does not need to be notarized.

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 ...

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Florida Health Proxy Form With Notary