Designation of Health Care Surrogate - Florida

Florida · Fillable PDF · Free

Choose a Florida health care surrogate and any alternate, and describe the authority you intend to grant. Read the packet's activation choices and witness instructions before signing; financial authority belongs in a separate power of attorney. Name someone to make health care decisions.

Serving Florida. Florida appointments require a Florida-commissioned notary.

Witnesses needed — arrange an appointment

Download Designation of Health Care Surrogate - Florida PDF · 5 pages. No account required.

Book a notary for Designation of Health Care Surrogate - Florida

Who this form is for

  • Name someone to make health care decisions.
  • Choose a Florida health care surrogate and any alternate, and describe the authority you intend to grant. Read the packet's activation choices and witness instructions before signing; financial authority belongs in a separate power of attorney.

What you'll need

  • The original Florida Designation of Health Care Surrogate packet and its instruction page.
  • The names, dates and supporting records needed to name someone to make health care decisions.
  • The recipient's directions, acceptable identification and any witnesses specified in the packet.

How to complete it

  1. Download the Florida Designation of Health Care Surrogate PDF and read its instructions before filling it in.
  2. Enter the details needed to name someone to make health care decisions. Ask a Florida attorney about legal choices you do not understand.
  3. Follow this packet's signature, witness and notarization instructions. Leave any signature requiring a notary for the appointment.
  4. Save and print your completed packet, follow its delivery or recording directions, and keep a copy.

Related Florida forms

These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

Free legal forms by state · Book a mobile notary