Designation of Health Care Surrogate – Florida
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This designation of health care surrogate allows you to designate another person to act for you in making medical decisions. Do NOT use in any state other than Florida.
Available in MS Word and fillable PDF. 2 pages.
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In the event that you are unable to make health care decisions for yourself, this designation of health care surrogate form allows you to designate another person to act as your surrogate to make these decisions. To be used by Florida residents only.
Contents
Designation of Health Care Surrogate – Florida
FAQs
What is a surrogate?
A surrogate is a substitute who acts on your behalf.
Why do I need a designation of health care surrogate?
It is used to designate someone to take your place in making health care decisions for you children in the event that you are unable to make health care decisions for yourself.
Is this Designation of Health Care Surrogate form only for use in Florida?
Yes, as it specifically cites to s. 765.202, Florida Statutes.
Can I later change my designation of surrogate?
Yes, the designation can be revoked or changed at any time while you are still of sound mind.
