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 Surrogate With Minor
State:
Florida
Control #:
FL-P020
Format:
Word;
Rich Text
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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
A client should ask himself or herself the following questions: Does the family member have the temperament and common sense to act as a HCS? Does this person know what the client wants, and will he or she carry out the client's wishes, especially under pressure?
Authority of the Surrogate A surrogate may make health care decisions on behalf of a patient if the patient has no available, previously appointed conservator or designated agent with authority to make such decisions, and the primary physician determines and documents that the patient lacks capacity for making health ...
Under Florida law, designation of a Health Care Surrogate should be made through a written document, and should be signed in the presence of two witnesses, at least one of whom is neither the spouse nor a blood relative of the maker.
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.
Yes, you can have more than one health care surrogate in Florida. However, naming more than one surrogate can lead to confusion and problems. For example, if your surrogates disagree, then you leave the doctor in an impossible position.