Florida Health Surrogate Form. The provision of health care to me; Web relates to my past, present, or future physical or mental health or condition;
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The provision of health care to me; (initials required in blank spaces below.) relates to my past, present, or future. Web relates to my past, present, or future physical or mental health or condition; Web i authorize my health care surrogate to:
Web relates to my past, present, or future physical or mental health or condition; Web i authorize my health care surrogate to: The provision of health care to me; Web relates to my past, present, or future physical or mental health or condition; (initials required in blank spaces below.) relates to my past, present, or future.
