WebIf I cancel my primary health care agent’s authority, or if my primary agent is not willing, able, or reasonably available to make a health care decision for me, I name the individual below as my first alternate agent. First alternate health care agent: Full name: Relationship to me: Home phone: Cell phone: Work phone: Email: WebName of individual you choose as first alternate agent: Address: Telephone: (home phone) (cell/pager)(work phone) OPTIONAL: If I revoke the authority of my agent and first alternate agent or if neither is willing, able, ... My agent shall make health care decisions for me in accordance with this power of attorney for health care, any ...

DESIGNATION OF HEALTH CARE AGENT - Texas

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Medical Power of Attorney Designation of Health-Care Agent

WebLaws about what a health care agent can decide vary by state. Usually, they can make choices about life support and more routine care. This could mean the choice to start, stop, or try a different ... Webcare decision for me, I designate as my first alternate agent: Alternate Agent’s Full Name Alternate Agent’s Address City State Zip Code Alternate Agent’s Home Phone Alternate Agent’s Work Phone. If I revoke the authority of my agent and first alternate agent or if neither is willing, able, or reasonably available to make a health care ... WebAug 24, 2024 · A Montana advance directive is a document that lets a person designate a health care agent to make decisions on their behalf and to outline special directions for … bwf fb