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PENNSYLVANIA Advance Directive Planning for Important ...

www.aarp.org

(2) giving health care treatment instructions to your health care agent . or health care provider. An advance health care directive is a written set of instructions expressing your wishes for medical treatmen t. It may contain a health care power of attorney, where you name a person called a "health care agent" to decide treatment for

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California Advance Health Care Directive

prepareforyourcare.org

California Advance Health Care Directive his for lets yo have a say aot ho yo ant to e cared for if yo cannot sea for yorself Your Name 1 TM Developed by for your care www.prepareforyourcare.org You can fill out Part 1, Part 2, or both. Fill out only the parts you want. Always sign the form in Part 3.

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Florida Advance Health Care Directive

prepareforyourcare.org

Florida Advance Health Care Directive his or lets o have a sa aot ho o ant to e cared or i o cannot sea or orsel Your Name 1 TM Developed by for your care www.prepareforyourcare.org You can fill out Part 1, Part 2, or both. Fill out only the …

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FORM 3-1 ADVANCE HEALTH CARE DIRECTIVE

shc.uci.edu

ADVANCE HEALTH CARE DIRECTIVE (03/17) California Hospital Association Page 1 of 8 INSTRUCTIONS Part 1 of this form lets you name another individual as agent to make health care decisions for you if you become incapable of making your own decisions, or if you want someone else to make those decisions for you now even though you are still capable.

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A Planning Toolkit - Mille Lacs Health System

www.mlhealth.org

The Minnesota Health Care Directive A Planning Toolkit • Use this PDF form to complete your personalized Health Care Directive • Fill out “on-line” and save your private document to make changes in the future. ... advance health care directives I have signed in the past.

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California Probate Code

www.dhcs.ca.gov

decision, to give or revoke an advance health care directive, and to designate or disqualify a surrogate. This presumption is a presumption affecting the burden of proof. Section 4658. Unless otherwise specified in a written advance health care directive, for the purposes of this division, a determination that a patient lacks or

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Advance Health Care Directive - Kaiser Permanente

healthy.kaiserpermanente.org

community care, residential care, or health care facility where I am receiving care, unless that person is my relative by blood, marriage, or adoption, is my registered domestic partner, or is my co-worker. Introduction This Advance Health Care Directive allows you to share your values, your choices, and your instructions about your health care.

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ADVANCE HEALTH CARE DIRECTIVES Under Hawai’i Law

www.hawaii.edu

INFORMATION ABOUT ADVANCE HEALTH CARE DIRECTIVES Under the law, you have the right to give instructions about your own health care. You also have the right to name someone else to make health care decisions for you.

  Health, Care, Health care, Advance, Advance health care

ADVANCE HEALTH CARE DIRECTIVE - Alaska

dhss.alaska.gov

health clinician. In this advance health care directive, "competent" means that you have the capacity (1) to assimilate relevant facts and to appreciate and understand your situation with regard to those facts; and (2) to participate in treatment decisions by means of a rational thought process. Advance Health Care Directive page 3 of 13

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Advance Health Care Directive Form Instructions

ag.ca.gov

Advance Health Care Directive Form Instructions You have the right to give instructions about your own health care. You also have the right to name someone else to make health care decisions for you.

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Advance Health Care Directive Form - ag.ca.gov

ag.ca.gov

ADVANCE HEALTH CARE DIRECTIVE FORM. PAGE 1 of 5. CALIFORNIA PROBATE CODE SECTION 4700-4701. 4700. The form provided in Section 4701 may, but need not, be used to create an advance health care directive.

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Health Care Advance Directives - usf.edu

www.usf.edu

advance directive, decisions about your health care or an anatomical donation may be made for you by a court-appointed guardian, your wife or husband, your …

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