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Get and Sign Durable Power of Attorney for Health Care Rush University Medical Rush 2009-2022 Form
The reverse side of this form. Amending or Revoking the Power of Attorney This Power of Attorney may be amended or revoked by you at any time and in any manner while you have the capacity to do so. I the undersigned hereby appoint insert name and address of agent as agent to act for me and in my name to make any and all decisions for me concerning my personal care medical treatment hospitalization and health care and to require withhold or withdraw any type of medical treatment or procedure...
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