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Durable power of attorney for health

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LOUISIANA HEALTH CARE POWER OF ATTORNEY

goea.louisiana.gov

B. Name Home Address City, State . Home Telephone Number Work Telephone Number . Cell Telephone Number . 3. With this document, I intend to create a durable power of attorney for health

  Health, Power, Care, Louisiana, Attorney, Durable, Louisiana health care power of attorney, Durable power of attorney for health

STATE OF ARIZONA DURABLE HEALTH CARE POWER OF ATTORNEY ...

www.arizonaseniorlaw.com

DURABLE HEALTH CARE POWER OF ATTORNEY (Cont’d) 7. Funeral and Burial Disposition: (Optional) My agent has authority to carry out all matters relating to my funeral and burial disposition wishes in accordance

  Health, Power, Attorney, Power of attorney, Durable, Durable health

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