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It is important to put your choice of agent in writing The written form is often called an advance directive You may use this form Health Care Power of Attorney means a legal document that lets the principal authorize an agent to make health care decisions for the principal in most health ...
Health Care Power of Attorney Updated 01 2023

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26 Times 3 4This document gives the person you name as your agent the authority to make any and all health care decisions for you in accordance with your wishes. A medical power of attorney MPOA is an official document that designates an agent or attorney in fact to make healthcare decisions on the principal s behalf
The representative appointed by this document is specifically authorized to be granted access to my medical records and other health information and to act ... [img_title-17] [img_title-16]
State of Ohio Health Care Power of Attorney

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Every adult should have an Advance Directive as to help explain the type of health care you wish to receive in case of emergency or simply planning ahead [img_title-11]
SIGN HERE for the Medical Durable Power of Attorney and or Health Care Directive forms Person s name print Signature Date Consent of parent guardian for [img_title-12] [img_title-13]

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