Health Care Surrogate for Minor - Florida

Florida · Fillable PDF · Free

A parent or legal guardian designates an adult to make specified health care decisions for a minor. Identify the child, surrogate and duration; check any custody order and the packet's signing directions. Appoint a health care surrogate for my child.

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

Witnesses needed — arrange an appointment

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Who this form is for

  • Appoint a health care surrogate for my child.
  • A parent or legal guardian designates an adult to make specified health care decisions for a minor. Identify the child, surrogate and duration; check any custody order and the packet's signing directions.

What you'll need

  • The original Florida Health Care Surrogate for Minor packet and its instruction page.
  • The names, dates and supporting records needed to appoint a health care surrogate for my child.
  • The recipient's directions, acceptable identification and any witnesses specified in the packet.

How to complete it

  1. Download the Florida Health Care Surrogate for Minor PDF and read its instructions before filling it in.
  2. Enter the details needed to appoint a health care surrogate for my child. 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.

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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.

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