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Initials Michigan Department of Community Health PATIENT ADVOCATE DESIGNATION Instructions for Completing DCH-3916 Important Information about a Patient Advocate Designation You have the right to
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Patient advocate designation is a legal document that allows an individual to appoint someone to make medical decisions on their behalf if they are unable to do so.
Any individual who wants to designate a patient advocate should file the designation.
To fill out a patient advocate designation, you must specify the person you want to appoint as your advocate and clearly outline their responsibilities and decision-making authority.
The purpose of patient advocate designation is to ensure that someone you trust can make medical decisions on your behalf if you become unable to do so.
Patient advocate designation typically includes the name of the advocate, their contact information, and specific instructions or limitations on their authority.
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