Florida Health Care Surrogate Form 2024. The designation of healthcare surrogate document should be used in concert with a hipaa authorization form, a legal form which permits your physician and other healthcare. Designation of a health care surrogate.
The current florida statutes §765.2035 allows a parent, legal custodian or legal guardian of a minor child to designate a competent adult to be the health care surrogate of the minor. The 2023 florida statutes (including special session c) title xliv.
Effective October 1, 2015, The Florida Legislature Adopted Sweeping Revisions To The Florida Health Care Surrogates Act.
I authorize my health care surrogate to:
The Florida Medical Power Of Attorney, Or As The State Calls It, The “Designation Of Health Care Surrogate”, Is The Assignment Of Powers To Another.
To apply for public benefits to defray the cost of health care;
Right Of A Competent Adult To Make An Advance Directive Instructing His Or Her.
Provide informed consent, refuse treatment, or withdraw consent for treatment;
Images References :
Access The Patient’s Private Healthcare Information.
Accident or injury questionnaire form download.
765.203 Suggested Form Of Designation.— A Written Designation Of A Health Care Surrogate Executed Pursuant To This Chapter May, But.
765.2035, florida statutes, designate the following person to act as my/our surrogate for health care decisions for such minor (s) in the event that i/we am/are not.