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 Connecticut
State:
Florida
Control #:
FL-P020
Format:
Word;
Rich Text
Instant download
Description
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How to fill out Florida Health Care Proxy - Designation Of Health Care Surrogate - Statutory Form?
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FAQ
This document is legal under state laws and it gives the representative the ability to make health care decisions for the individual based upon his or her living will if there is one, or their wishes as told to the representative.
The form must be executed in the presence of two (2) witnesses. These witnesses must also execute the document. It does not need to be notarized.
The most common types of advance directives are the living will and the durable power of attorney for health care (sometimes known as the medical power of attorney). There are many advance directive formats.
In the event that there is a dispute regarding your living will or appointment of a health care representative, the witnesses' affidavits support its validity. This affidavit requires the use of an attorney or notary public. No other form requires the use of a notary or an attorney.
Federal law requires hospitals to give you information about Advance Directives. In Connecticut, there are two types of Advance Directives forms: Living Wills or Healthcare Instructions. Appointment of Healthcare Representative.