Health Care Proxy Form For Florida

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

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 ...

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.

If someone fails to correctly plan ahead for their incapacity, the Florida proxy law provides an orderly determination for who will make the incapacitated person's health care decisions. (g) A close friend of the patient.

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.

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Health Care Proxy Form For Florida