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Get Nv Acknowledgment Of Patient Information On Advance Directives 2004-2024

Date of Birth: 1. I have received written information on state law, and the hospital s written policy, advising me of my right to make decisions concerning my medical care, including the right to accept or refuse medical or surgical treatment, and formulate advance directives (declaration and/or durable power of attorney for health care decisions). YES NO 2. I have formulated an advance directive: Declaration Durable Power of Attorney for Health Care.

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