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Fill and Sign the Health Care Directive Mississippi Form

Fill and Sign the Health Care Directive Mississippi Form

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Open the document and fill out all its fields.
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REVOCATION OF ADVANCE HEALTH-CARE DIRECTIVE I, ___________________________________________________________________, Declarant, having executed an Advance Health-Care Directive on the ________ day of ________________________, 20____, regarding my decisions and choices concerning my health care. Mississippi Code Annotated 41-41-207 provides that individual may revoke all or part of an advance health-care directive, other than the designation of an agent, at any time and in any manner that communicates an intent to revoke. An individual may revoke the designation of an agent only by a signed writing or by personally informing the supervising health-care provider. I hereby revoke all or those parts of that Advance Health-Care Directive as indicated below: [ ] All of the Advanced Health Care Directive. [ ] Part 1: Power of Attorney for Health Care. [ ] Part 2: Instructions for Health Care. [ ] Part 3: Primary Physician This is my written revocation as indicated above of my Advance Health-Care Directive and is provided to all persons to whom I have provided a copy of my Advance Directive. DATED this the _________ day of ______________________________, 20____. Signature of Declarant: __________________________________________________________ Printed Name of Declarant: _______________________________________________________ Address of Declarant: ___________________________________________________________

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Adhere to this step-by-step guide:

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  2. Select +Create to upload a file from your device, cloud storage, or our form library.
  3. Open your ‘Health Care Directive Mississippi’ in the editor.
  4. Click Me (Fill Out Now) to finalize the form from your end.
  5. Add and designate fillable fields for other participants (if required).
  6. Proceed with the Send Invite settings to solicit eSignatures from others.
  7. Download, print your copy, or convert it into a reusable template.

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