Florida Health Surrogate Form - Web health care decisions and to provide, withhold, or withdraw consent on my behalf; (initials required in blank spaces below.) relates to my past, present, or future physical or mental health or condition; Web i authorize my health care surrogate to: Web living wills, health care surrogates, and advanced directives. To apply for public benefits to defray the cost of health care; Or the past, present, or future payment for the. The forms included on the florida agency for health care administration’s health care advance. The provision of health care to me; Web pursuant to section 765.204(3), florida states, any instructions of health care decisions i make, either verbally or in writing, while i possess. Web relates to my past, present, or future physical or mental health or condition;
Or the past, present, or future payment for the. The provision of health care to me; Web i authorize my health care surrogate to: Web health care decisions and to provide, withhold, or withdraw consent on my behalf; Web living wills, health care surrogates, and advanced directives. (initials required in blank spaces below.) relates to my past, present, or future physical or mental health or condition; Web pursuant to section 765.204(3), florida states, any instructions of health care decisions i make, either verbally or in writing, while i possess. The forms included on the florida agency for health care administration’s health care advance. Web relates to my past, present, or future physical or mental health or condition; To apply for public benefits to defray the cost of health care;