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98029 Haha Street #30 AIEA, HI 96701 Phone: (808) 4842205; Fax: (808) 4882151 WRITTEN DECLARATION OF SURROGATE I, (surrogates name), under penalty of false swearing declare myself as a surrogate for

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What is written declaration of surrogate?

The written declaration of surrogate is a legal document that allows an individual to designate a surrogate to make healthcare decisions on their behalf if they become unable to do so.

Who is required to file written declaration of surrogate?

Any individual who wants to appoint a surrogate to make healthcare decisions on their behalf in case they become incapacitated.

How to fill out written declaration of surrogate?

The written declaration of surrogate can be filled out by the individual appointing the surrogate with the help of a lawyer or legal advisor.

What is the purpose of written declaration of surrogate?

The purpose of the written declaration of surrogate is to ensure that an individual's healthcare wishes are carried out in the event that they are no longer able to make decisions for themselves.

What information must be reported on written declaration of surrogate?

The written declaration of surrogate typically includes the name of the surrogate, the healthcare decisions they are authorized to make, and any specific instructions or limitations provided by the individual appointing the surrogate.

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