This form allows you to designate a surrogate to make health care decisions for you if you are determined to be incapacitated to provide informed consent for medical treatment and surgical and diagnostic procedures.
Florida Health Care Proxy - Designation of Health Care Surrogate - Statutory Form
State:
Florida
Control #:
FL-P020
Format:
Word;
Rich Text
Instant download
Description Health Care Proxy Form Florida
Free preview Medical Proxy
How to fill out Health Proxy Meaning?
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A Health Care Surrogacy Designation authorizes chosen persons to make health care decisions on their behalf if they are unable. A power of attorney, on the other hand, is a legal document where a principal gives authority to an agent to make decisions on behalf of the principal.
Health Care Directive Must be signed by two witnesses or notarized. Neither of your witnesses nor the notary may be your health care agent. If you choose to have the document witnessed, at least one of the witnesses may not be a health care provider or an employee of a provider directly attending to you.
Who appoints my Healthcare Surrogate? The physician who is attending to you or the advance practice nurse working with the physician who is attending you will select the person to serve as your healthcare surrogate.
Your health care surrogate is a person you authorize via a Designation of Health Care Surrogate form to make medical decisions for you when you are unable to make your own decisions.
What Is a Health Care Surrogate? A Health Care Surrogate is a Power of Attorney that is specifically granted to make medical decisions. This means that if you are deemed unable to make medical care decisions, but a decision must be made, the designated individual can make the decisions on your behalf.
The law requires that you sign your Designation of Healthcare Surrogate in the presence of two adult witnesses, who must also sign the document.At least one of your witnesses must not be your spouse or a blood relative. Note: You do not need to notarize your Florida Designation of Healthcare Surrogate.
Your health care surrogate is a person you authorize via a Designation of Health Care Surrogate form to make medical decisions for you when you are unable to make your own decisions. It is important that you discuss your wishes in advance with your health care surrogate.
What is a Health Care Proxy and how is it Different from a Health Care Surrogate? A health care proxy is used in Florida when someone is incapacitated and has not created a designation of health care surrogate or the designated surrogate is unable or unwilling to act.