5292 36

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5292 36

5292 36

5292 36

The purpose of this Living Will Declaration is to document your wish that life sustaining treatment including artificially or technologically supplied You can use this form to indicate your choice to be an organ donor. Or you can designate it on your driver's license or state identification card (at your ...

Free Advance Directive Forms by State from AARP

5292-22-2-2-2-192168

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5292 36FLORIDA LIVING WILL – PAGE 2 OF 2. PRINT NAME,. HOME. ADDRESS AND. TELEPHONE. NUMBER OF. YOUR. ALTERNATE. SURROGATE. ADD PERSONAL. INSTRUCTIONS. (IF ANY). SIGN ... What is a Living Will A living will is a declaration that instructs medical staff on how to treat a person declarant in a terminal or incurable condition

If at any time I should have an incurable and irreversible injury, disease, or illness judged to be a terminal condition by my attending physician who has ... 5292 21 123 40 5292 65 192329

Living Will Florida Agency for Health Care Administration

5292-20-882-136

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This form is designed to help you communicate your wishes about medical treatment at some time in the future when you are unable to make your wishes known 5292 60 086102

GENERAL INSTRUCTIONS You can use this Advance Directive Living Will form to give instructions for the future if you want your health care providers to 5292 60 081104 5292 21 040242

5292-60-762-223635

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5292-65-03-613-202207

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5292-60-092045

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5292

5292

5292-60-086102

5292 60 086102

5292-21-123-40

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5292-65-080621

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