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Florida Advance Directive Form

The Florida advance directive form allows a person to prepare for their possible physical or mental incapacity by appointing a health care surrogate and making a living will. The surrogate is a trusted individual who is given the authority to make decisions regarding the principal’s health care if they are incapacitated. A living will portion of the document provides the principal’s instructions for when they wish to have life-sustaining treatments withheld. The completed form should be given to the principal’s acting physician or care facility to have it entered into their medical record.

Agent’s Duties§ 765.205

Laws –  Chapter 765 (Health Care Advance Directives)

Signing Requirements (§ 765.302(1) and § 765.202(1)) – Two (2) Witnesses

Statutory Form – § 765.303, § 765.203, § 765.2038


State Definition

Statute – § 765.101(1)

“Advance directive” means a witnessed written document or oral statement in which instructions are given by a principal or in which the principal’s desires are expressed concerning any aspect of the principal’s health care or health information, and includes, but is not limited to, the designation of a health care surrogate, a living will, or an anatomical gift…


Related Forms

Living Will – A form in which the principal provides instructions regarding medical treatments and procedures.

Download: PDF

 


Medical Power of Attorney – Used to appoint a health care surrogate to make medical decisions on the principal’s behalf when they are incapacitated.

Download: PDF