Another important estate planning tool is the Designation of Health Care Surrogate form. If you have ever spent time in a hospital before, either as a patient, or at the bedside of a loved one, you will know how important it is that every patient has an advocate during these times.
This form allows you to appoint and name a surrogate to serve in that position, and to name an alternate surrogate. You will rest assured knowing that this document is effective and legally binding, and that the right person is acting on your behalf. Sample language that we include in our Designation of Health Care Surrogate form follows:
In the event that I have been determined to be incapacitated to provide informed consent for medical treatment and surgical and diagnostic procedures, I designate the following person as my surrogate for health care decisions:
Name:
Address:
Telephone:
I will furnish an exact copy of this designation to my health care surrogate and my alternate surrogates. I fully understand that this designation will permit my designee to make health care decisions and to provide, withhold, or withdraw consent on my behalf; to apply for public benefits to defray the cost of health care; to have access to my medical records and to authorize their release; and to authorize my admission to or transfer from a licensed health care facility.
In the event you have someone you trust to carry out your medical wishes and need to have them named as your health care surrogate this document can be completed by you easily and effectively. Call the law offices of Hoffman & Hoffman, P.A. and we will help to make sure you have all the tools you need for an effective and complete estate plan.
For an initial consultation with one of our experienced attorneys call 305-372-2877 or 877-858-2977 or fill out the contact form on the right side of this page.
