Durable Power Of Attorney For Health Care Page 4
Download a blank fillable Durable Power Of Attorney For Health Care in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Durable Power Of Attorney For Health Care with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11Instruction for Completing Part II.
Health Care Directive
If you decide not to complete the Health Care Directive (Part II), write your initials above the line
that says “initials” in the shaded box which appears below the words “Part II. Health Care
Directive”.
If you decide to complete the Health Care Directive (Part II), please follow the instructions be-
low:
DO NOT initial the shaded box below the words “Part II. Health Care Directive”.
Read the Directive Carefully.
Review the list of life-prolonging procedures and decide which, if any, of these procedures you
would like to have withheld or withdrawn. Write your initials next to each procedure you want to
be withheld or withdrawn if you are persistently unconscious or there is no reasonable expecta-
tion of your recovery from a seriously incapacitating or terminal illness or condition.
10.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal