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Fill and Sign the Statutory Living Will with Health Care Proxy Form

Fill and Sign the Statutory Living Will with Health Care Proxy 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 ADVANCE HEALTH CARE DIRECTIVE (Statutory Living Will with Health Care Proxy) I, ___________________________________________________________________, Declarant, having executed an Advance Health Care Directive regarding certain choices and decisions I had made concerning the use of artificial life sustaining procedures on the ________ day of ________________________, 20____.Alabama Code § 22-8A-5 provides that an advance directive for health care may be revoked at any time by me by any of the following methods: (1) By being obliterated, burnt, torn, or otherwise destroyed or defaced in a manner indicating intention to cancel; (2) By a written revocation of the advance directive for health care signed and dated by the declarant or person acting at the direction of the declarant; or (3) By a verbal expression of the intent to revoke the advance directive for health care in the presence of a witness 19 years of age or older who signs and dates a writing confirming that such expression of intent was made. This is my written revocation of the above referenced Declaration and I am providing a copy of this revocation to all parties to whom I provided a copy of the original declaration.DATED this the _________ day of ______________________________, 20____.Signature of Declarant: __________________________________________________________Printed Name of Declarant: Address of Declarant:

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Adhere to this comprehensive guide:

  1. Sign in to your account or register for a free trial with our service.
  2. Click +Create to upload a document from your device, cloud storage, or our template library.
  3. Open your ‘Statutory Living Will With Health Care Proxy’ in the editor.
  4. Click Me (Fill Out Now) to prepare the document on your end.
  5. Add and assign fillable fields for others (if necessary).
  6. Proceed with the Send Invite settings to request eSignatures from additional parties.
  7. Download, print your version, or convert it into a reusable template.

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