Medical Durable Power Of Attorney
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Business Entreprise Health Santé healthcare soins de santé Name prénom Signature Agent Declarant Déclarant Forms Formulaire Sample Medical Power Of Attorney Forms Exemples de formulaires de procuration médicale
How to write a Medical Durable Power Of Attorney? Download this Medical Durable Power Of Attorney template that will perfectly suit your needs.
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State here any desires concerning life-sustaining procedures, treatment, general care and services, including any special provisions or limitations: Name of Alternate Agent 1 Agent’s Best Contact Telephone Number Agent’s email or alternative telephone number Agent’s home address Name of Alternate Agent 2 Agent’s Best Contact Telephone Number Agent’s email or alternative telephone number My signature below indicates that I understand the purpose and effect of this document: Agent’s home address Signature of Declarant Pursuant to Colorado Revised Statute 15-14.503–509 Date 1 ADDENDUM TO MEDICAL DURABLE POWER OF ATTORNEY – RECOMMENDED, NOT REQUIRED 1..
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