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1. APPOINTMENT OF HEALTH CARE AGENT, Name hereby appoint:Name (relationship) address phones my Agent to make health and personal care decisions for me as authorized in the document.2. ALTERNATE AGENTS
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An advance directive for health is a legal document that allows you to specify the type of medical treatment you want or do not want in the event you become unable to make your own decisions.
Anyone over the age of 18 is encouraged to have an advance directive for health, especially individuals with chronic or terminal illnesses.
You can obtain an advance directive form from your doctor, lawyer, or online, and fill it out by stating your healthcare preferences and choosing a healthcare proxy.
The purpose of an advance directive for health is to ensure that your wishes regarding medical treatment are known and respected if you are unable to communicate them yourself.
Information that must be reported on an advance directive for health includes your healthcare preferences, healthcare proxy's contact information, and any instructions regarding end-of-life care.
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