FL Health Care Advance Directives 2006-2025 free printable template

You can indicate your choice to be an organ donor by designating it on your driver s license or state identification card at your nearest driver s license office signing a uniform donor form seen elsewhere in this pamphlet or expressing your wish in a living will. Am I required to have an advance directive under Florida law No there is no legal requirement to complete an advance directive. At least one of the witnesses cannot be a spouse or a blood relative. Where can I find advance directive...forms Florida law provides a sample of each of the following forms a living will a health care surrogate and an anatomical donation. Elsewhere in this pamphlet we have included sample forms as well as resources where you can find more information and other types of advance directive forms. What if I have filled out an advance directive in another state and need treatment in Florida Florida. What should I do with my advance directive if I choose to have one If you designate a health care...surrogate and an alternate surrogate be sure to ask them if they agree to take this responsibility discuss how you would like matters handled and give them a copy of the document. The state rules that require this include 58A-2. 0232 59A-3. 254 59A4. 106 59A-8. 0245 and 59A-12. 013 Florida Administrative Code. Questions About Health Care Advance Directives What is an advance directive It is a written or oral statement about how you want medical decisions made should you not be able to make them...yourself and/or it can express your wish to make an anatomical donation after death. When a person becomes unable to make decisions due to a physical or mental change such as being in a coma or developing dementia like Alzheimer s disease they are considered incapacitated. To make sure that an incapacitated person s decisions about health care will still be respected the Florida legislature enacted legislation pertaining to health care advance directives Chapter 765 Florida Statutes. The law...recognizes the right of a competent adult to make an advance directive instructing his or her physician to provide withhold or withdraw life-prolonging procedures to designate another individual to make treatment decisions if the person becomes unable to make his or her own decisions and/or to indicate the desire to make an anatomical donation after death. By law hospitals nursing homes home health agencies hospices and health maintenance organizations HMOs are required to provide their patients...with written information such as this pamphlet concerning health care advance directives. The state rules that require this include 58A-2. 0232 59A-3. 254 59A4. 106 59A-8. 0245 and 59A-12. 013 Florida Administrative Code. Have created the following Advance Directives Health Care Surrogate Designation Anatomical Donation Other specify ----------------------- FOLD ---------------------------Contact Name Address Phone Signature Date Produced and distributed by the Florida Agency for Health Care...Administration. This publication can be copied for public use or call our toll-free number 1-888-419-3456 for additional copies. More Information On Health Care Advance Directives Before making a decision about advance directives you might want to consider additional options and other sources of information including the following As an alternative to a health care surrogate or in addition to you might want to designate a durable power of attorney. Through a written document you can name another...person to act on your behalf. It is similar to a health care surrogate but the person can be designated to perform a variety of activities financial legal medical etc.. You can consult an attorney for further information or read Chapter 709 Florida Statutes. If you choose someone as your durable power of attorney be sure to ask the person if he or she will agree to take this responsibility discuss how you would like matters handled and give the person a copy of the document.