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Web designation of health care surrogate. To apply for public benefits to defray the. Web p a t i e n t. Web health care decisions and to provide, withhold, or withdraw consent on my behalf;
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I, (name) , want to choose how i will be. Web this health care surrogate designation form will help the healthcare team speak to the person you trust to speak on your behalf. I authorize my health care surrogate to: (initials required in blank spaces below.).
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The forms included on the. Bc 2934a page 1 of 2 rev. Living wills, health care surrogates, and advanced directives. Web health care surrogate designation documents are readily accessible for free online, are easy for.