Revocation of Health Care Proxy - Florida 2026

1. Click ‘Get Form’ to open the Revocation of Health Care Proxy - Florida in the editor.
2. Begin by entering your name as the Declarant in the designated field. This identifies you as the individual revoking the previous designation.
3. Fill in the date when you executed the original Designation of Health Care Surrogate. This is important for legal clarity.
4. In the section stating 'This is my written revocation...', ensure that you clearly indicate your intent to revoke by confirming this statement.
5. Provide the date on which you are signing this revocation document. This should be current and reflect when you are making this change.
6. Sign your name in the space provided for the Declarant, affirming your decision to revoke.
7. Lastly, include witness information by having two witnesses sign and print their names as required by Florida law.

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