This is a Florida Medical Power Of Attorney Form, this form is used to designate a health care surrogate who will take decisions related to your health on your behalf, in case it is determined that you are incapacitated to provide informed consent for medical treatment and other surgical and diagnostic procedures. This form follows the Florida statutes section 765.203.
How to complete this Florida Medical Power Of Attorney Form?
The first page of this form contains a specific blank spaces for you to fill in details like the following; your full name (the principal). The name of the person whom you are appointing as your health care surrogate, their full address including street address, city, state, ZIP Code and phone number. If the health care surrogate that you appoint is unwilling or unable to form his or her duties that you can also designate other person as your alternate healthcare surrogate and provide his or her details including name and full address.
You must acknowledge that you fully understand the ramifications of this Florida Medical Power Of Attorney Form, and that whomever you assign as your get surrogate can then make healthcare decisions on your behalf including providing, Holdings consent for public benefits, defraying the cost of health care and authorize your admission or transfer from one healthcare facility to another.
The last section of this Florida Medical Power Of Attorney Form is where the witnesses must sign. What this power-of-attorney to be considered valid needs to be signed by at least adult witnesses. And at least one of the witness must be unrelated to the principal i.e. not be a husband or wife or a blood relative of the principal.
The second section of this Florida Medical Power Of Attorney Form contains a list of Frequently Asked Questions (FAQs). These questions relate to topics like the living will, differences between living will and a legally will, questions about the health care surrogate etc. In case you have any queries you can go through these FAQs find answers to those queries. You can download this form by clicking on the link below.