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Get and Sign Designation of Health Care Surrogate  Form

Get and Sign Designation of Health Care Surrogate Form

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Is materially different from this designation. My health care surrogate s authority becomes effective when my primary physician determines that I am unable to make my own health care decisions unless I initial either or both of the following boxes If I initial this box my health care surrogate s authority to receive my health information takes effect immediately. takes effect immediately. Pursuant to section 765. 204 3 Florida States any instructions of health care decisions I make either...
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