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Advance Care Directive Form

Advance Care Directive Form

advancecaredirectives.sa.gov.au

Advance Care Directive Form . 3. Part 1 . You must fill in this Part. Part 2a . Your Substitute Decision-Maker fills in this section and must sign before you do. You must provide ... must be followed, pursuant to section 19 of the Act, if relevant and applicable). Do not complete Part 5 unless an Interpreter was used.

  Directive, Followed, Be followed

ADVANCE DIRECTIVE FOR HEALTH CARE

ADVANCE DIRECTIVE FOR HEALTH CARE

www.alabamapublichealth.gov

ADVANCE DIRECTIVE FOR HEALTH CARE (Living Will and Health Care Proxy) ... The directions in this form will be followed even if you do not name a health care proxy. Place your initials by only one answer: _____ I do not want to name a health care proxy. (If you check this answer, go to Section 3)

  Health, Care, Directive, Advance, Advance directive for health care, Followed, Be followed

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Directive, Be followed, ADVANCE DIRECTIVE FOR HEALTH CARE