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Medical Power of Attorney Form | Designation of Health Care Surrogate

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    Ioana Gagiuc
    Ioana Gagiuc
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    Ioana Gagiuc
    Ioana Gaugic is a legal content editor with a master's degree in criminal science from Dimitrie Cantemir Christian University. Her background as an author and conference speaker has given her a broad perspective on various legal subjects and helps her make the complex world of legal documents accessible to a wider audience.
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Updated November 19, 2024

A Florida medical power of attorney form is a legal document that allows you to choose someone, known as a surrogate or agent, to make medical decisions on your behalf if you are unable to communicate. This person is responsible for ensuring that you receive the medical care that aligns with your wishes. It’s an important document to have in case of emergencies or unexpected health issues. It’s also helpful to know that there are three types of advance directives: a living will, a health care surrogate designation, and an anatomical donation. Each plays a vital role in outlining your healthcare preferences.

Laws

Statute: Chapter 765 (Health Care Advance Directives).

Signing Requirements: Two (2) witnesses (§ 765.202).

Revocation: It is effective indefinitely — until you revoke it. You can change or revoke your medical power of attorney at any time while you retain your decision-making capacity. If your spouse serves as your health care surrogate, divorcing automatically revokes their powers (§ 765.104).

Sample

florida medical power of attorney template

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Florida Medical Power of Attorney Form

The document above is a sample. Please note that the language you see here may change depending on your answers to the document questionnaire.

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