Planning for Incapacity - Governor's Office of Elderly Affairs - Louisiana - goea louisiana 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your name and the contact details of your chosen agent in the designated fields. Ensure accuracy as this person will make health care decisions on your behalf.
  3. If applicable, list an alternate agent who can step in if your primary choice is unavailable. This ensures continuity in decision-making.
  4. In the section regarding medical information access, grant your agent permission to review your health records by checking the appropriate box.
  5. Clearly articulate any specific healthcare instructions you have. This may include treatments you wish to refuse or those you want to ensure are provided.
  6. Review all entries for clarity and correctness. Make any necessary corrections directly in the document, initialing next to changes.
  7. Once satisfied, sign and date the document. Ensure that two witnesses also sign, confirming they are not related to you or entitled to any part of your estate.

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