Identify the Florida advance directive or surrogate designation you intend to revoke. Notify the affected care providers and decision-makers so the change reaches those holding the earlier document. Withdraw an earlier health care directive.
Serving Florida. Florida appointments require a Florida-commissioned notary.
Identify the Florida advance directive or surrogate designation you intend to revoke. Notify the affected care providers and decision-makers so the change reaches those holding the earlier document.
What you'll need
The original Florida Revocation of Advance Directive packet and its instruction page.
The names, dates and supporting records needed to withdraw an earlier health care directive.
The recipient's directions, acceptable identification and any witnesses specified in the packet.
How to complete it
Download the Florida Revocation of Advance Directive PDF and read its instructions before filling it in.
Enter the details needed to withdraw an earlier health care directive. Ask a Florida attorney about legal choices you do not understand.
Follow this packet's signature, witness and notarization instructions. Leave any signature requiring a notary for the appointment.
Save and print your completed packet, follow its delivery or recording directions, and keep a copy.
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.
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.
Specify who may disclose or receive your medical information, the information covered and the authorization's duration. A Florida HIPAA release permits disclosure within its terms; it does not appoint a financial agent or health care surrogate.
Put your treatment wishes in writing for the circumstances described in this Florida living will. Discuss care choices with your clinician and share the signed document with the people who may need to follow it.
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.