Florida Health Proxy Form With Signature

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

Proxy directive is a legal document assigning the health care decisions of an individual to another in the event the individual is incapacitated. A proxy directive is typically prepared in consultation with family members, primary physicians and sometimes (though not mandatory) an attorney.

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.

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.

A proxy is a legal instrument that allows a shareholder to appoint another person (known as the proxyholder) to attend and act on their behalf at a meeting of shareholders. Proxy solicitation must be accompanied by a form of proxy and a management proxy circular.

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Florida Health Proxy Form With Signature