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This document authorizes an individual to access a patient's information through Frisbie Memorial Hospital’s Patient Portal as their proxy.

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What is adultproxy?

Adultproxy is a legal document that allows a designated individual to make decisions on behalf of another adult, typically in matters related to health care or financial management.

Who is required to file adultproxy?

Individuals who wish to appoint someone to make decisions for them in case they become incapacitated are required to file an adultproxy.

How to fill out adultproxy?

To fill out an adultproxy, you need to provide your personal information, designate the individual you trust to act on your behalf, and specify the powers they will have. It may require signing in front of witnesses or a notary, depending on state laws.

What is the purpose of adultproxy?

The purpose of adultproxy is to ensure that someone you trust can make important decisions regarding your health care or finances if you are unable to do so yourself.

What information must be reported on adultproxy?

The information typically required on an adultproxy includes the names and addresses of both the principal (the person creating the proxy) and the agent (the person being appointed), the specific powers granted, and any limitations on those powers.

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