Living Will Form Page 3
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3Can I have more than one Health Care Surrogate?
The maker can also explicitly designate an Alternate Surrogate. The Alternate Surrogate may assume the
duties as Surrogate if the original Surrogate is unwilling or unable to perform his or her duties. If the maker
is physically unable to sign the designation, he or she may, in the presence of witnesses, direct that
another person sign the document. An exact copy of the designation must be provided to the Health Care
Surrogate. Unless the designation states a time of termination, the designation will remain in effect until
revoked by its maker.
Can the Living Will and the Health Care Surrogate designation be revoked?
Both the Living Will and the Designation of Health Care Surrogate may be revoked by the maker at any
time by a signed and dated letter of revocation; by physically canceling or destroying the original document;
by an oral expression of one's intent to revoke; or by means of a later executed document which is
materially different from the former document. It is very important to tell the attending physician that the
Living Will and Designation of Health Care Surrogate has been revoked.
Where can I go to obtain legal advice on this issue?
If you believe you need legal advice, call your attorney. If you do not have an attorney, call The Florida Bar
Lawyer Referral Service at 1-800-342-8011, or the local lawyer referral service or legal aid office listed in
the yellow pages of your telephone book.
This information has been prepared by the Consumer Protection Law Committee of The Florida
Bar and the Bar’s Public Information Office and is offered as a courtesy of The Florida Bar and the
Florida Medical Association.
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