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MEMBER ENROLLMENT (Choice Agency) 693 W. Nye Lane, Carson City, NV 89703 (775) 6874200 Fax (775) 6875131 5820 S. Eastern Ave. Suite 220, Las Vegas, NV 89119 (702) 4863900 Fax (702) 6786934 18664737768 This
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Choice agency is a form that allows an individual to select which organization or individual will make healthcare decisions on their behalf if they are unable to do so.
Any individual who wants to designate a healthcare proxy or agent is required to file a choice agency form.
To fill out a choice agency form, the individual must provide their personal information, select their healthcare proxy, and specify any preferences or instructions regarding their healthcare decisions.
The purpose of choice agency is to ensure that an individual's wishes regarding medical treatment are respected and carried out if they become incapacitated.
The choice agency form typically requires information on the individual's name, contact information, chosen healthcare proxy, and any specific instructions or preferences regarding medical treatment.
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