Declaration of Medical Proxy - northfloridaopg.org

85A Manual for Individuals and Families. D eclaration o f Medical P roxy Under Florida S tatute 7 01, a Medical p roxy can b e a ppointed t o make health c are d ecisions f or an incapacitated o r d evelopmentally d isabled p atient i f t here i s n o e xecuted advance d irective, i f t here is n o designated s urrogate o r a lternate s urrogate t o e xecute a n a dvance d irective, or i f t he d esignated o r a lternate surrogate i s n o l onger available t o make h ealth c are d ecisions. Health c are d ecision means p roviding i nformed consent, r efusal o f c onsent or w ithdrawal o f c onsent to a ny and all h ealth c are; d ecisions concerning p rivate, public, g overnment, or v eteran s b enefits t o d efray t he cost o f health c are a nd t he right o f a ccess t o a ll r ecords o f t he p rincipal r easonably necessary f or a Medical p roxy t o make d ecisions i nvolving h ealth c are. Health c are decisions may b e made for the p atient b y a ny o f t he f ollowing individuals, i n t he f ollowing o rder o f p riority, i f n o i ndividual i n a p rior c lass i s r easonably a vailable, willing, or competent t o a ct.

Declaration of Medical Proxy ... or if the designated or alternate surrogate is no longer available to make health care decisions. Health care decision means providing informed consent, refusal of consent or withdrawal of consent to any and ... guardianship program selected by a …

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