health care proxy form florida
                                                                
                            Free Florida Durable Power of Attorney for Health Care Form 
                            Please appoint a person as a surrogate who maintains intermittent contact and is familiar to your personal, moral, religious, and cultural beliefs. Please
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                            Health Care Surrogate Designation
                            I, [NAME], designate [NAME]. , [Address]. , ([Telephone]. ), to serve as my health care surrogate under Section 765.202 of the Florida Statutes. In addition, I
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                            Designation of Health Care Surrogate for Minor
                            I/We fully understand that this designation will permit my/our designee to make health care decisions for a minor and to provide, withhold, or withdraw consent
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