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APPOINTMENT of HEALTHCARE SURROGATE I, ___, want to choose how I will be treated by my healthcare PRINT NAME providers. In the event that I am unable or unwilling to communicate, or I am incapable
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01
Obtain the proper form for appointment of healthcare surrogate.
02
Fill in your personal information such as name, address, and contact information.
03
Choose the person you want to appoint as your healthcare surrogate.
04
Make sure the chosen person is willing to take on this responsibility and understands your wishes.
05
Sign and date the form in front of witnesses or a notary public.
06
Provide a copy of the completed form to your healthcare surrogate, your doctor, and any other relevant parties.

Who needs appointment of healthcare surrogate?

01
Anyone who wants to ensure that their medical wishes are followed in case they become incapacitated.
02
Individuals with chronic illnesses or those at risk of sudden medical emergencies may benefit from appointing a healthcare surrogate.
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Appointment of healthcare surrogate is a legal document that allows an individual to appoint someone to make healthcare decisions on their behalf if they are unable to do so.
Any individual who wants to designate a healthcare surrogate should file the appointment document.
To fill out an appointment of healthcare surrogate, the individual must provide their personal information, the surrogate's information, and sign the document.
The purpose of appointment of healthcare surrogate is to ensure that your healthcare wishes are known and followed if you are unable to communicate them yourself.
The appointment of healthcare surrogate must include personal information of the individual, contact information of the surrogate, and the specific healthcare decisions the surrogate is authorized to make.
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