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Two witnesses must co-sign the form. The witnesses cannot be your agent, your healthcare provider, or an employee of your healthcare provider.Complete the form, sign it, and then have it notarized or witnessed. It may also – but need not be – notarized. Fill out the form, A Power of Attorney for My Health Care, and follow the instructions for signing it in the presence of 2 witnesses. As my agent to make any and all health care decisions for me, except to the extent I state otherwise in this document.