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Advanced Health Care Directive Form - California

oag.ca.gov

UNIFORM HEALTH CARE DECISIONS ACT [4670 - 4743] ( Part 2 added by Stats. 1999, Ch. 658, Sec. 39. ) CHAPTER 2. Advance Health Care Directive Forms [4700 - 4701] ( Chapter 2 added by Stats. 1999, Ch. 658, Sec. 39. ) 4701. The statutory advance health care directive form is as follows: ADVANCE HEALTH CARE DIRECTIVE (California Probate Code Section ...

  Health, Care, California, Directive, Health care directive

Advanced Health Care Directive Form - California

www.courts.ca.gov

CHAPTER 2. Advance Health Care Directive Forms [4700 - 4701] ( Chapter 2 added by Stats. 1999, Ch. 658, Sec. 39. ) 4701. The statutory advance health care directive form is as follows: ADVANCE HEALTH CARE DIRECTIVE (California Probate Code Section 4701) Explanation You have the right to give instructions about your own health care.

  Health, Care, California, Directive, Health care directive

A HEALTH CARE DIRECTIVE FORM

health.hawaii.gov

Health Care Directive and that you expect them to honor your wishes. Keep them informed about your current wishes. ____ Give copies of the Advance Directive to your health care agent, health care providers, family, close friends, spiritual advisors, and any other indi-viduals who might be involved in your care. Register your Advance

  Health, Care, Directive, Health care, Health care directive

MINNESOTA STATUTE § 145C HEALTH CARE DIRECTIVE OF

www.ag.state.mn.us

named a health care agent, these instructions are to be used by the agent. These instructions mayalsobe used by my health care providers, others assisting with my health care, and my family, in the event I cannot make decisions for myself. Part I: Appointment of Health Agent

  Health, Care, Appointment, Directive, Health care, Health care directive, Appointment of health

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.

  Health, Toolkit, Planning, Care, Directive, Advance, Planning toolkit, Advance health care, Health care directive

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.

  Health, Care, Directive, Health care, Health care directive

Florida Advance Health Care Directive

prepareforyourcare.org

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 parts you want. Always sign the form in Part 3.

  Health, Care, Directive, Health care directive

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.

  Health, Care, Directive, Health care directive

ADVANCE DIRECTIVE FORMS and MY RIGHTS TO GUIDE MY …

www.mercy.net

the future (this is another type of advance directive and is often called a health care directive, declaration or living will). l No one can require me to sign an advance directive. I have the right to choose to not do an advance directive at all.

  Health, Care, Directive, Advance, Advance directive, Health care directive

PENNSYLVANIA Advance Directive Planning for Important ...

www.caringinfo.org

This packet contains a legal document, a Pennsylvania Advance Health Care Directive, that protects your right to refuse medical treatment you do not want, or to request treatment you do want, in the event you lose the ability to make decisions yourself.

  Health, Your, Pennsylvania, Care, Directive, Health care directive

CALIFORNIA - CaringInfo

www.caringinfo.org

This packet contains a legal document, a California Advance Health Care Directive, that protects your right to refuse medical treatment you do not want, or to request treatment you do want, in the event you lose the ability to make decisions yourself.

  Health, Care, California, Directive, Health care directive

HEALTH-CARE DIRECTIVE - University of Washington

healthonline.washington.edu

University of Washington Physicians Seattle, Washington HEALTH CARE DIRECTIVE UH0285 REV JAN 05 *U0285* *U0285* PT. NO. NAME DOB HEALTH-CARE DIRECTIVE Directive made this _____day of _____, _____ (month, year) I, _____(name), having the capacity to make health-care decisions, willfully and voluntarily make known my desire that my dying shall ...

  Health, University, Care, Directive, Health care directive

Health Care Directive - Allina Health

www.allinahealth.org

Review and release my medical records, health information and other personal records as needed for my health care as a personal representative under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and any similar state law.

  Health, Care, Directive, Release, Health care directive, Aillan, Allina health

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