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Get Wi Dph 0085 1998-2024

1251 FAX: 608-267-2832 www.dhfs.wisconsin.gov To Whom It May Concern: Enclosed is the Power of Attorney for Health Care form you requested. The Power of Attorney for Health Care form makes it possible for adults in Wisconsin to authorize other individuals (called health care agents) to make health care decisions on their behalf should they become incapacitated. It may also be used to make or refuse to make an anatomical gift (donation of all or part of the human body to take effect upon the de.

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