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Unless required by the corporate by-laws, a proxy need not be docHubd. 20.11. 2.5. If the name of the proxy is left in blank, the person to whom it is given or the issuer corporation receiving the proxy is at liberty to fill in any name he/it chooses.
All competent adults, 18 years of age or older, can appoint a health care agent by signing a form called a Health Care Proxy. You dont need a lawyer or a notary, just two adult witnesses. Your agent cannot sign as a witness. You can use the form printed here, but you dont have to use this form.
Two witnesses must watch you sign your Health Care Proxy form and say that you appeared to sign willingly. Neither your agent nor your alternate agent can serve as a witness. You do not need to have the form docHubd.
States often require one or more witnesses to sign the proxy. Typically, a witness should not be a family member, the representative named on the proxy, a healthcare professional, or anyone named in the persons will. Some states recognize advance directives from other states.
I, , parent or legal guardian of , born , do hereby consent to any medical care and the administration of anesthesia determined by a physician to be necessary for the welfare of my child while said child
Durable power of attorney for health care: A durable power of attorney for health care is a legal document that names your health care proxy, a person who can make health care decisions for you if you are unable to communicate these yourself.