Example: confidence
My Sanford Chart
Naming a Proxy is my choice and not required. I do not have to give this consent. I will receive care even if I do not sign this consent. I understand that if I do not sign this, access will not be given to my Proxy. If I am . over 18, this consent expires 5 years from the date of my signing. If I am a minor, it will expire when I turn 18.
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