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Bronson's advance directive - Bronson Total Health Care 2025

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The document is a Durable Power of Attorney for Health Care, allowing an individual to appoint a patient advocate who can make medical decisions on their behalf if they become incapacitated. It outlines the authority granted to the advocate, including access to medical records and the ability to consent or refuse treatment. The document also includes options for the principal's preferences regarding life support and treatment in various medical scenarios, as well as requirements for witnesses and acceptance of the advocate's role.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your full name and complete legal address in the designated fields for the Appointment of Patient Advocate section.
Next, appoint your primary patient advocate by filling in their name and complete address. If necessary, designate a second advocate as a backup.
In the Grants of Authority and Responsibility section, review the powers you are granting to your advocate. Ensure you understand each point regarding medical decisions.
Proceed to the Desires and Preferences for Treatment section. Here, indicate your choices regarding life support under various scenarios by selecting your preferences clearly.
Finally, sign and date the document in the Signature of Principal section, ensuring that witnesses also sign as required.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (84 Votes)
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2005	4.3 Satisfied (187 Votes)

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