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.
Healthcare Surrogate For Minor
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
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.
The designation must be signed by the principal in the presence of two witness who must also sign the document in the presence of the principal; The witnesses must be at least 18 years old; The surrogate cannot be a witness; and. At least one of the witness must not be the principal's spouse or blood relative.
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.
A healthcare agent is also known as a surrogate or proxy and is someone you designate and empower to make medical decisions for you if, at some future time, you are unable to make decisions yourself.
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?