Healthcare Surrogate Templates
Are you looking for a way to ensure that your medical decisions are upheld even if you are unable to make them yourself? A healthcare surrogate, also known as a healthcare surrogate form, is a legal document that allows you to appoint someone to make medical decisions on your behalf. This document group provides a range of forms and templates to help you create a legally binding healthcare surrogate agreement.
With a healthcare surrogate, you can designate a trusted individual as your representative, who will advocate for your medical wishes when you are unable to communicate or make decisions. By having a healthcare surrogate form in place, you can have peace of mind knowing that your healthcare preferences will be respected and followed by medical professionals.
The documents in this collection cater to different jurisdictions and may have different names, such as medical power of attorney forms or advance directive forms. These alternate names reflect the varying terminology used across different states or provinces. Regardless of the name, the underlying purpose remains the same: to legally authorize someone to make healthcare decisions on your behalf.
Don't leave your medical decisions to chance. Take control of your healthcare by utilizing the healthcare surrogate forms available in this collection. With these documents, you can ensure that your wishes are honored when it comes to your medical care, even if you are unable to speak for yourself.
Documents:
17
This document is used to appoint someone to make healthcare decisions on your behalf in Colorado if you become unable to make them yourself.
PDF 
Word
This form is used for creating an advance directive in the state of Maine. An advance directive is a legal document that allows individuals to specify their healthcare preferences and appoint someone to make medical decisions on their behalf if they become unable to do so.
Use this form in the state of Florida for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.
This form is used in Nebraska as part of the patient's medical records and determines health care measures to be taken in the event of the patient's mental or physical incapacity.
This form allows an individual to clarify their wishes regarding their health care and treatment in case of their temporary or permanent incapacity.
This form is used to instruct health care providers to not do CPR for the patient if their heart stops beating.
Use this form to designate a specific person to handle medical decisions in the event that you are unable to give these decisions directly.
This type of form is used in Arkansas to permit another individual the right to make important medical decisions on behalf of the principal.
In Kansas, this type of form is used to confirm that a principal has delegated themselves an agent for medical-related issues.
This type of form allows an individual residing in Mississippi to find and document themselves a representative that will be able to represent their interests and wishes in medical settings, particularly questions concerning treatment.
Individuals residing in Missouri may use this legal document to grant another individual permission to make important medical decisions (those usually concerning treatment) on their behalf.
This type of form is used in Nebraska when a principal wants to give out powers to an agent with the legal rights to make medical decisions on the behalf of the principal.
Residents of New Jersey may use this type of form when a principal wants to create a back-up option regarding their treatment and have another individual be able to make specific choices concerning treatment.
This form gives a person in Utah the opportunity to select a medical representative that will be given rights concerning medical treatment and any relevant information that may be required after death.
This Form is used for creating a Restricted Power of Attorney in Maryland. It allows an individual to appoint someone else to make decisions on their behalf, but with specific limitations on their authority.
This document allows you to appoint someone to make medical decisions on your behalf in the state of Utah.
This type of document is used in Vermont and is available in English and Vietnamese. It is an Advance Directive short form, which allows individuals to specify their medical preferences and appoint a healthcare agent in case they are unable to communicate their wishes.
