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Apostille from the Washington Secretary of State

Revocation of Health Care Directive - Washington

Washington · Fillable PDF · Free

Use this form to cancel a Washington health care directive, a durable power of attorney for health care, or a mental health advance directive. Use this form to cancel a Washington health care directive, a durable power of attorney for health care, or a mental health advance directive.

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Who this form is for

• For Washington residents and families: revocation of health care directive.

What you'll need

• Read the supplied packet before filling in its fields.
• Follow this document's signing, identification, witness and filing instructions.

How to complete it

1. Identify the documents (Page 1) Check each document you are revoking and enter its date and agent names.
2. Sign before a notary (Page 2) Under Washington law, you may revoke a directive at any time, and the revocation is effective once your attending physician is told. A notarized revocation gives clear proof of the date and your identity. Bring a current, government-issued photo ID.
3. Notify your doctors and agents (Page 2) Give copies to your doctor, hospital, and each agent named, and record each notice.

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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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