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  1. Click ‘Get Form’ to open the power health care document in the editor.
  2. Begin by entering your full name and address in the designated fields at the top of the form. This identifies you as the principal.
  3. Select your health care agent by filling in their name, address, and phone number. Ensure this person is someone you trust to make decisions on your behalf.
  4. If desired, list any successor agents who can step in if your primary agent is unavailable. Provide their names and contact information.
  5. Review the section detailing what decisions your agent can make. You may check boxes to specify when your agent's authority begins.
  6. Sign and date the form in front of a witness, ensuring they also sign it. Follow any additional instructions for distribution of copies.

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