Advance health care directiveexplanationyou have the right to give instructions about your own health care. you also have the right to name someone else to make health care decisions for you. this form lets you do either or both of these things....
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Durable power of attorney for health carewarning to person executing this documentthis is an important legal document which is authorized by the keene health care agent act. before executing this document, you should know these important facts:...
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Medical durable power of attorney for healthcare decisionsi. appointment of agent and alternatesi, , declarant, hereby appoint:name of agent agent 's best contact telephone number agent 's email or alternative telephone number agent 's home...
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Durable power of attorney for health care and medical treatmenti, , of the city of , state of montana, do hereby make, constitute, nominate and appoint , presently residing in county, state of montana, as my true and lawful attorneyinfact to act...
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Declaration for mental health treatment (utah code 62a151004)i, , being an adult of sound mind, willfully and voluntarily make this declaration for mental health treatment, to be followed if it is determined by a court or by two physicians that my...
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Durable power of attorney for health care decisions warning to person executing this document this is an important legal document. it creates a durable power of attorney for health care. before executing this document, you should know these...
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Declaration (mca 509103)if i should have an incurable and irreversible condition that, without the administration of lifesustaining treatment, will, in the opinion of my attending physician, cause my death within a relatively short time and i am...
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Health care power of attorney1. health care power of attorneyi, , as principal, designate as my agent for all matters relating to my health care, including, without limitation, full power to give or refuse consent to all medical, surgical,...
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Living will(arizona revised statutes 363262)(some general statements concerning your health care options are outlined below. if you agree with one of the statements, you should initial that statement. read all of these statements carefully before...
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Declaration for mental health treatmenti, , being an adult of sound mind, willfully and voluntarily make this declaration for mental health treatment. i want this declaration to be followed if a court or two physicians determine that i am unable...
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Advance health care directive (alaska statutes 13.52.300)explanationyou have the right to give instructions about your own health care to the extent allowed by law. you also have the right to name someone else to make health care decisions for you...
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Statutory form power of attorney:general, limited, or durable(as 13.26.332)the powers granted from the principal to the agent or agents in the following document are very broad. they may include the power to dispose, sell, convey, and encumber...
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Mental health care power of attorney (arizona revised statutes 363281 et seq.) i, , being an adult of sound mind, voluntarily make this declaration for mental treatment. i want this declaration to be followed if i am incapable, as defined in...
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Psychiatric advance directive (wyoming statutes 3522302)i, being over eighteen years of age and of sound mind, willfully and voluntarily make known my desires regarding the use of psychiatric restabilization measures.i understand that...
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Colorado living will(colorado revised statutes 1518104)living will made this day of , 20i, , being of sound mind, willfully and voluntarily make known my desire that my life shall not be prolonged under the circumstances set forth below and do...
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