Durable Power Of Attorney For Health Care Page 9

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III. Desires and Preferences for Treatment (optional section)
I understand that my inability to participate in medical treatment decisions may encompass a wide range of
circumstances, including, but not limited to, my being either (a) conscious, but mentally incompetent, or (b)
unconscious and unaware. In light of the wide range of circumstances which might effectuate this
document, my desires and preferences for treatment include:

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