Provo Utah Revocation of Directive to Physicians and Providers of Medical Services - for Persons Signing Instrument on Behalf of Declarant

State:
Utah
City:
Provo
Control #:
UT-P022B
Format:
Word; 
Rich Text
Instant download

Description

This is a revocation of UT-PO22. A directive for medical services after injury or illness is incurredmay be revoked at any time by the declarant if the declarant has signed it personally, or by the person or persons who signed a directive on behalf of a declarant, based on changed circumstances or conditions or a change of mind. Provo Utah Revocation of Directive to Physicians and Providers of Medical Services — for Persons Signing Instrument on Behalf of Declaring is a legal document designed to revoke a previously signed directive or medical power of attorney in the state of Utah. This document is primarily used by individuals who have previously assigned someone to make medical decisions on their behalf but now wish to revoke their authority. Keywords: Provo Utah, revocation, directive, physicians, providers, medical services, persons, signing instrument, behalf, declaring. Types of Provo Utah Revocation of Directive to Physicians and Providers of Medical Services — for Persons Signing Instrument on Behalf of Declaring: 1. Standard Revocation Form: This is the most commonly used revocation form which allows an individual to revoke a previously signed medical directive without any specific conditions or limitations. 2. Specific Revocation Form: This type of revocation document is used when the declaring wants to revoke the authority of a specific person or persons named in the original medical directive. It allows the declaring to specify the names of individuals whose authority they want to revoke. 3. Limited Revocation Form: In certain cases, a declaring may want to revoke only a specific portion of the original medical directive, rather than revoking it entirely. A limited revocation form provides the flexibility to revoke only certain sections or powers granted to the appointed person or persons. 4. Conditional Revocation Form: This type of form is used when the revocation is contingent upon certain conditions being met. For example, if the declaring named a family member as their medical agent but now wishes to revoke their authority if the family member moves out of state, a conditional revocation form can be used. 5. Revocation by Proxy Form: In situations where the declaring is unable to sign the revocation document themselves, they can assign another person as their proxy to sign the revocation form on their behalf. This form allows someone else to initiate the revocation process for the declaring. 6. Emergency Revocation Form: This is a specialized revocation form that allows for immediate termination of the appointed person's authority in emergency situations. It is highly recommended consulting an attorney to properly execute this form as emergency revocations must meet specific legal requirements. It is important to consult with a legal professional or healthcare provider when considering revoking a directive to ensure all legal requirements and procedures are properly followed.

Provo Utah Revocation of Directive to Physicians and Providers of Medical Services — for Persons Signing Instrument on Behalf of Declaring is a legal document designed to revoke a previously signed directive or medical power of attorney in the state of Utah. This document is primarily used by individuals who have previously assigned someone to make medical decisions on their behalf but now wish to revoke their authority. Keywords: Provo Utah, revocation, directive, physicians, providers, medical services, persons, signing instrument, behalf, declaring. Types of Provo Utah Revocation of Directive to Physicians and Providers of Medical Services — for Persons Signing Instrument on Behalf of Declaring: 1. Standard Revocation Form: This is the most commonly used revocation form which allows an individual to revoke a previously signed medical directive without any specific conditions or limitations. 2. Specific Revocation Form: This type of revocation document is used when the declaring wants to revoke the authority of a specific person or persons named in the original medical directive. It allows the declaring to specify the names of individuals whose authority they want to revoke. 3. Limited Revocation Form: In certain cases, a declaring may want to revoke only a specific portion of the original medical directive, rather than revoking it entirely. A limited revocation form provides the flexibility to revoke only certain sections or powers granted to the appointed person or persons. 4. Conditional Revocation Form: This type of form is used when the revocation is contingent upon certain conditions being met. For example, if the declaring named a family member as their medical agent but now wishes to revoke their authority if the family member moves out of state, a conditional revocation form can be used. 5. Revocation by Proxy Form: In situations where the declaring is unable to sign the revocation document themselves, they can assign another person as their proxy to sign the revocation form on their behalf. This form allows someone else to initiate the revocation process for the declaring. 6. Emergency Revocation Form: This is a specialized revocation form that allows for immediate termination of the appointed person's authority in emergency situations. It is highly recommended consulting an attorney to properly execute this form as emergency revocations must meet specific legal requirements. It is important to consult with a legal professional or healthcare provider when considering revoking a directive to ensure all legal requirements and procedures are properly followed.

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Provo Utah Revocation of Directive to Physicians and Providers of Medical Services - for Persons Signing Instrument on Behalf of Declarant