This Revocation of Statutory Power of Attorney for Health Care form is a revocation of the authority and power granted in Form AZ-P014, which gives the person acting as your agent, the authority to make any and all health care decisions for you in accordance with your wishes when you are no longer capable of making them yourself. You may revoke a health care directive by a written revocation or a written statement to disqualify a surrogate, by orally notifying the surrogate or a health care provider, by making a new health care directive or by any other act that demonstrates a specific intent to revoke or to disqualify a surrogate. You should provide a copy of the revocation to all persons to whom you provided a copy of the original health care directive.
Power Of Attorney With Consideration
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