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If I am unable to participate in my health care decisions I direct my attending physician to withhold or withdraw life-sustaining procedures that merely prolong the dying process and are not necessary to my comfort or freedom from pain* This declaration is subject to any specific instructions or statement of desires I have added in Additional Provisions below. II. POWER OF ATTORNEY FOR HEALTH CARE DECISIONS I hereby designate Type or Print Name of Agent Type or Print Street Address Phone Number ...

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