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.
Health Care Proxy Form For College Students
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
Can I name more than one person as my Agent? No. Name only one person as your Agent and one person as your Alternate. Naming two people as co-agents might present a legal problem and could set up the kind of conflict about your care that the Health Care Proxy law was designed to avoid.
Can you name more than one health care proxy? Naming more than one health care proxy is allowed in a few states, but having two proxies can cause conflict and complicate medical decisions. However, you may be able to name an alternate proxy as a backup.
To make your decision official, you will need to complete the durable power of attorney for health care form for your state. You can find, download, and print free advance directive forms for your state. You may need to have your form witnessed or notarized, so be sure to read the directions closely.
The Health Care Proxy Law lets you voluntarily appoint a competent adult to make decisions about your medical treatment in the event you lose the ability to decide for yourself ? including decisions to remove or provide life-sustaining treatment.
All competent adults, 18 years of age or older, can appoint a health care agent by signing a form called a Health Care Proxy. You don't need a lawyer or a notary, just two adult witnesses.