Florida health care surrogate form 2026

1. Click ‘Get Form’ to open the Florida Health Care Surrogate Form in our editor.
2. Begin by filling in your name at the top of the form, designating your health care surrogate. Provide their name, address, and phone number in the designated fields.
3. If applicable, designate an alternate health care surrogate by completing their information in the same manner as above.
4. In the 'Instructions for Health Care' section, initial next to each authorization you grant your surrogate regarding health information and decision-making authority.
5. Specify any specific instructions or restrictions in the provided space to ensure your wishes are clearly communicated.
6. Indicate when your surrogate's authority becomes effective by initialing the appropriate boxes based on your preferences.
7. Finally, sign and date the form at the bottom. Ensure that two witnesses also sign and provide their details as required.

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