First alternate health care agent
WebJun 6, 2024 · (9) First Alternate Healthcare Agent. The Pennsylvania Healthcare Agent you have appointed may be willing and able to act in this role at the time of this document’s execution however, he or she may be unable or unreachable by the time he or she is called upon by Pennsylvania Health Care Professionals seeking your authorized treatment … 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 ...
First alternate health care agent
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WebFeb 20, 2024 · The First Alternate Agent will be contacted for this role upon your current Agent’s refusal or disqualification and may only receive the principal powers of this document if he or she must act as your New Mexico Health Care Agent. (5) First Alternative Agent Address. (6) Telephone Number(s) Of First Alternative Agent. WebFeb 20, 2024 · This Alternate Agent will only be able to use the principal authority this document grants if the original Texas Health Care Agent must be replaced while the …
WebFeb 20, 2024 · That is, the Health Care Agent must be unavailable so the First Alternative Health Care Agent may use Principal Power. 4 – Prepare And Report The Principal Directives the Health Care Agent Must Obey. … WebFeb 20, 2024 · Section 1. Designation Of Agent (1) Alaska Health Care Agent. It is imperative that the full name of your Alaska Health Care Agent is attached to this role. The first task this directive requests is a report on the name, address, and telephone number of your Alaska Health Care Agent. (2) Designation Of First Alternate (Optional).
WebA healthcare agent is also known as a surrogate or proxy and is someone you designate and empower to make medical decisions for you if, at some future time, you are unable …
WebAdditional alternate health care agents Note: You may leave this page blank. 2nd alternate health care agent I choose this person as my alternate health care agent if …
WebA health care agent, chosen by you, can help your providers, family, and friends make decisions during a stressful time. Your agent's duty is to see that your wishes are … krishna vedic schoolWebJun 14, 2024 · How do I enforce the power of attorney alternative provision? A This is a problem with many alternate designations on many durable powers of attorney—the … maplewood mn youth sportsWebFeb 20, 2024 · Create Document. Updated February 20, 2024. A Minnesota advance directive is a form that can be used to elect a person to act as a health care agent for another person. In an optional … maplewood mobile home communityWebhealth-care agent and discuss your wishes with this person. Select an alternate health-care agent in case your agent is unable to serve. Complete either one of the enclosed simplified forms, change or cross out provisions or make an entirely different document. Add pages if you like. maplewood mo bars and restaurantsWebMay 16, 2024 · An Alternate Party to the Kansas Health Care Agent can be named here as a recipient of the principal power being granted if the Kansas Health Care Agent is not … maplewood mobile home park brunswick maineWebDESIGNATION OF HEALTH CARE AGENT . Advance Directives Act (see §166.164, Health and Safety Code) ... An alternate agent may make the same health care … maplewood mobile home cocoaWebYou may wish to designate an alternate agent in the event that your agent is unwilling, unable, or ineligible to act as your agent. If you designate an alternate agent, the … maplewood mobile home park valparaiso indiana