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Download a free printable form to designate a health care surrogate under florida law. If i am unable to communicate or. Instructions for my health care surrogate: Designation of a health care surrogate this health care surrogate designation form will help the.
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Designation of health care surrogate*[ (and hipaa release authorization)]* in the. Designation of health care surrogate. The designation of health care surrogate form is 1 page long and contains: I fully understand that this designation will permit my designee to make health care decisions and.