Declaration for mental health treatment (ic 16361.57)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 2 physicians or the court that my ability to...
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Designated caregiver agreement(minnesota statutes 257b.01 to 257b.10)explanationa parent who has legal custody of a child may execute a designated caregiver agreement that names an adult to serve as a designated caregiver to care for the parent\'s...
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Durable power of attorney for health carethis is an important legal document. before signing this document you should know these important facts:except to the extent you state otherwise, this document gives the person you name as your agent the...
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Durable power of attorney for health care (iowa code 144b.5)this is an important legal document. before signing this document you should know these important facts:except to the extent you state otherwise, this document gives the person you name...
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Durable power of attorney for health care (missouri revised statutes 404.800 to 404.865)this is an important legal document. before signing this document you should know these important facts:except to the extent you state otherwise, this document...
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Durable power of attorney for health care(ohio revised code 1337.11 to 1337.17)the following notice to adult executing this document (durable power of attorney for health care) is required by ohio revised code, section 1337.17. if, after reading...
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Durable power of attorneyfor health care (south dakota codified laws chapter 597)(1) designation of health care agent i, (insert your name and address) do hereby designate and appoint: (insert name, address, and telephone number of one individual...
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Power of attorney for health carei appoint , whose address is , and whose telephone number is , as my attorney in fact for health care. i appoint , whose address is , and whose telephone number is , as my successor attorney in fact for health...
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Durable power of attorneyfor health care decisions (k.s.a 58632)general statement of authority granted i, , designate and appoint:name: address: telephone number: to be my agent for health care decisions and, pursuant to the language stated below,...
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Declaration(missouri revised statutes 459.010 to 459.055)i have the primary right to make my own decisions concerning treatment that might unduly prolong the dying process. by this declaration i express to my physician, family and friends my...
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Living will declaration (indiana code 1636410)declaration made this day of , 20 (month, year).i, , being at least eighteen (18) years of age and of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially...
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Living will declarationthis is an important legal document. a living will directs the medical treatment you are to receive in the event you are in a terminal condition and are unable to participate in your own medical decisions. this living will...
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Notice to person making this documentyou have the right to make decisions about your health care. no health care may be given to you over your objection, and necessary health care may not be stopped or withheld if you object. because your health...
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Donotresuscitate orderthis donotresuscitate order is issued by attending physician for . (type or print declarant 's or ward 's name)use the appropriate consent section below:a. declarant consenti have discussed my health status with my physician...
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Notice to the individual signing the power of attorney for health care no one can predict when a serious illness or accident might occur. when it does, you may need someone else to speak or make health care decisions for you. if you plan now, you...
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