(3) GENERAL POWERS OF HEALTH CARE AGENT
My health care agent will make health care decisions for me when I am
unable to communicate my health care decisions or I choose to have my
health care agent communicate my health care decisions.
My health care agent will have the same authority to make any health care
decision that I could make. My health care agent’s authority includes the
following powers:
To authorize my admission to or discharge (including transfers) from
•
any hospital, skilled nursing facility, hospice, or other health care facility
or service;
To request, consent to, withhold, or withdraw any type of health care;
•
and to
Contract for any health care facility or service for me, and to obligate
•
me to pay for these services (and my health care agent, acting in this
official capacity, will not be financially liable for any services or care
contracted for me or on my behalf).
My health care agent will be my personal representative for all purposes of
federal or state law related to privacy of medical records. This includes
the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
My health care agent will have the same access to my medical records that
I have and can disclose the contents of my medical records to others for
my ongoing health care.
My health care agent may accompany me in an ambulance or air ambulance
if in the opinion of the ambulance personnel protocol permits a passenger
and my health care agent may visit or consult with me in person while I am
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