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Click ‘Get Form’ to open the Health Care Proxy in the editor.
In Item (1), enter the name, home address, and telephone number of your chosen health care agent. This person will make decisions on your behalf if you are unable to do so.
If desired, appoint an alternate agent in Item (2) by providing their details. This ensures that another trusted individual can step in if your primary agent is unavailable.
In Item (3), specify if you want the proxy to have an expiration date or remain valid indefinitely. This is optional but important for clarity.
Use Item (4) to provide any special instructions or limitations for your agent regarding health care decisions. Clearly outline your wishes about treatments you do or do not want.
Sign and date the form in Item (5). If you cannot sign, direct someone else to sign in your presence.
Complete Item (6) if you wish to express wishes regarding organ and/or tissue donation. Ensure this section is witnessed as required.
Finally, have two witnesses sign the document in Item (7), ensuring they are not your appointed agents.
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1. a person authorized to act on behalf of someone else; agent. to vote by proxy. 2. the authority, esp in the form of a document, given to a person to act on behalf of someone else.
What does it mean when something acts as a proxy?
: the agency, function, or office of a deputy who acts as a substitute for another. a. : authority or power to act for another. b. : a document giving such authority.
What is a proxy person?
plural proxies. Britannica Dictionary definition of PROXY. 1. [count] : a person who is given the power or authority to do something (such as to vote) for someone else. Since I wouldnt be available to vote, I nominated him to act as my proxy.
healthcare proxy
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