Free Florida Medical Power of Attorney Form | PDF

Florida Medical Power of Attorney Form

A Florida Medical Power of Attorney, or as the state calls it, the “Designation of Health Care Surrogate,” is the assignment of powers to another individual that enables them to make medical judgment calls on behalf of the principal. This only happens if the assignor loses their mental capacity and cannot voice their preferred course of action.

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Last updated October 23rd, 2024

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A Florida Medical Power of Attorney, or as the state calls it, the “Designation of Health Care Surrogate,” is the assignment of powers to another individual that enables them to make medical judgment calls on behalf of the principal. This only happens if the assignor loses their mental capacity and cannot voice their preferred course of action.

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Other Versions (4)

Florida Medical Power of Attorney – Version 1

Download: Adobe PDF

 

 

 

Florida Medical Association Version

Download: Adobe PDF

 

 

 

Florida Medical Clinic Version

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Naples Community Hospital Version

Download: Adobe PDF

 

 

 

Additional Resources

Related Forms (9)

Advance Directive (Medical POA & Living Will)

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Designation of Health Care Surrogate for Minor (§ 765.2035, § 765.2038)

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DNR (Do Not Resuscitate) Order (multilingual version also available in Spanish & Haitian Creole)

Download: Adobe PDF

 

 

 

 

Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 

 

Living Will

Download: Adobe PDF

 

 

 

Mental Health Advance Directive

Download: Adobe PDF

 

 

 

POLST Form

Download: Adobe PDF

 

 

 

Uniform Donor Form

Download: Adobe PDF

 

 

 

Wallet Card for Advance Directives

Download: Adobe PDF

 

 

 

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