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Fill and Sign the Mental Healthcare Declaration and Power of Attorney Word Form

Fill and Sign the Mental Healthcare Declaration and Power of Attorney Word Form

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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REVOCATION OF POWER OF ATTORNEY I, ___________________________________________________________________, Declarant, having executed a Statutory Form Power of Attorney on the ________ day of ________________________, 20____, naming _______________________________________ ___________________________________ my attorney-in-fact/agent, do hereby revoke that Power of Attorney pursuant to its explicit provision that it may be revoked by me. This is my written revocation of the above referenced Power of Attorney and I am providing a copy of it to my attorney-in-fact/Agent.DATED this the _________ day of ______________________________, 20____.Signature of Declarant: __________________________________________________________Printed Name of Declarant: _______________________________________________________Address of Declarant: ___________________________________________________________

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In a few simple clicks, your mental healthcare declaration and power of attorney word form is completed from wherever you are. As soon as you're finished editing, you can save the file on your device, create a reusable template for it, email it to other people, or ask them to eSign it. Make your documents on the go speedy and effective with airSlate SignNow!

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  • 2.Open the application, tap Create to add a template, and select Myself.
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  • 2.Log in to your account or register it with a free trial, then add a file with a ➕ option on the bottom of you screen.
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  • 4.Tap on Tools tab -> Signature, then draw or type your name to electronically sign the form. Complete empty fields with other tools on the bottom if required.
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