Summary

Use this document if you need someone to fill in and sign an appointment of medical treatment decision maker form for you, at your direction. This document allows you to formally appoint a medical treatment decision maker, who will have legal authority to make medical treatment decisions on your behalf, should you become unable to do so.

Details

Publication Type
Document
Topic
Forms and templates
Date Published
16 Mar 2018
Size
6 pages
Available format
pdf
Author
Department of Health & Human Services