[PDF] New Mexico Optional Advance Health Care Directive Form PDF medical

This form lets you do either or both of these things It also lets you express your wishes regarding the designation of your primary physician THIS FORM IS

UNIFORM HEALTH CARE DECISIONS ACT [4670 - 4743] ( Part 2 added by Stats 1999, Ch 658, Sec 39 ) CHAPTER 2 Advance Health Care Directive Forms [

[PDF] Advance Health Care Directive

To the extent allowed by Alaska law, (unless crossed out below) my Health Care Agent has the right to: 1 Consent to or refuse any medical care, treatment, service

[PDF] New Mexico Optional Advance Health Care Directive Form

This form lets you do either or both of these things It also lets you express your wishes regarding the designation of your primary physician THIS FORM IS

[PDF] Advance Healthcare Directive - UCLA Health

Pages 8 – 10: Sign the form with witnesses or a notary present to make it legal After you have completed your advance directive, discuss it with your healthcare

[PDF] ADVANCE HEALTH CARE DIRECTIVE FORM - Hawaii State

File a copy with: □ Doctor copy □ Family Copy □ Agent Copy □ www myhealthdirective com ADVANCE HEALTH CARE DIRECTIVE FORM Date:

[PDF] NEW YORK Advance Directive - NHPCO

Unless you specify otherwise in the space for additional instructions on page 2 of the form, if you appoint your spouse as your agent, the health care proxy will be

[PDF] Wyoming Advance Health Care Directive Form for: - Cheyenne

Advance Health Care Directive Form for: (print your full name) Please place the completed document on the front of your refrigerator or another location

[PDF] ADVANCE HEALTH CARE DIRECTIVE - Alaska Department of

This booklet contains the Alaska statutory form for an Advance Health Care Directive Alaska Legal Services Corporation (ALSC) provides this as a service to

[PDF] Advance Health Directive form - WA Health

Notes about treatment decisions: Treatment is any medical, surgical or dental treatment or other health care (including palliative care and life sustaining

[PDF] [PDF] New Mexico Optional Advance Health Care Directive Form

[PDF] Advanced Health Care Directive Form - California Department of