This document clearly outlines your preferences for the person who will act as your healthcare agent in the event that you are not able to make your own medical care decisions. You will appoint someone to the role of healthcare agent, allowing them to make decisions on your behalf, to access your medical records as needed, and to help enforce your wishes as outlined in your advance directive. This form makes a legal contract between you and your designated agent and allows them to act on your behalf.
You will need to sign this form and have it witnessed. Depending on where you live, this could be incorporated into your advance directive or be a separate document.
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