If my surrogate mother is unwilling, unable or reasonably available to perform her duties, I designate as my alternate surrogate mother: first, a potential guardian must ask the court to determine the incompetence of the person for whom he wishes to act as guardian, as well as a petition to serve as legal guardian, if the AIP is considered incapable. A notice that these two petitions have been submitted must be served and read to the AIP, his lawyer and all known relatives. While I have the ability to make decisions, my desires are in control and my doctors and health care providers must clearly communicate to me the treatment plan or a change in the treatment plan before it is implemented. 1. Informed consent, refusal of consent or withdrawal of consent to all my health care, including life extension procedures. In the event that it has been determined that I am not able to give explicit and informed consent with regard to the detention, revocation or continuation of life extension procedures, I, as a surrogate mother, would like to determine the provisions of this statement: I / We authorize and request all doctors, hospitals or other medical service providers, to follow the instructions of my surrogate mother or our alternative surrogate mother, if necessary at any time and in all circumstances with regard to medical treatment, as well as surgical and diagnostic procedures for a minor, provided that medical care and treatment of a minor is provided on the advice of a licensed physician. If a majority of the committee concludes that the AIP is unable to do so, the court is likely to make a decision on the incapacity for work and the potential guardian may be granted guardianship if necessary and there are no other solutions such as a person with a power of attorney. As far as I know, my surrogate mother will keep me sufficiently informed of all the decisions she has made on my behalf and the issues that concern me. If you would like to obtain guardianship of a loved one, please contact Vazquez of Lara Law Group and let us work to reach a determination of incapacity so that you can manage your loved one`s affairs fairly and efficiently. 3. Access my health information, which is reasonably necessary for the surrogate in health care to make decisions that affect my health care and claim benefits for me. and if my primary care physician and another consulting physician have determined that there is no reasonable medical probability that I will recover from such a condition, I order that life extension procedures be suspended or withdrawn if the use of such procedures would only serve to artificially prolong the process of death, and that I can die naturally, only with the administration of medication or the execution of a medical procedure deemed necessary to take care of me.

with comfort care or to relieve pain. In order to obtain guardianship, Florida law provides that a « determination of disability » must be made in respect of the « allegedly disabled person (AIP) ». This determination is the first step in the guardianship process and allows the court to decide whether or not guardianship is required. The court will then appoint a three-person examination board to conduct the investigations and give their opinion on the alleged incapacity for work. One of these three must be a psychologist or doctor, and the other two must be employed in a job for which their education and experience will give them knowledge to make a decision about another person`s ability to make decisions for themselves. This could be done by other doctors, nurses, social workers, etc. and in general, none of the three committee members can be the current IAFF physician or someone in conflict of interest such as a parent. (Initial here) Receive all my health information, whether oral or recorded in any form or medium, which: (Initial here) Make all health decisions for me, which means he or she has authority: 4. Decide to make an anatomical donation in accordance with Part V of Chapter 765, Statutes of Florida.

(3) EXPRESS ORALLY MY INTENTION TO MODIFY OR REVOKE THIS DESIGNATION; OR IF I LEAVE THIS BOX [ ], MY MOTHER`S POWER IN THE HEALTH SERVICE TO MAKE HEALTH DECISIONS FOR ME WILL TAKE EFFECT IMMEDIATELY. PURSUANT TO SUBSECTION 765.204(3) OF THE LAWS OF FLORIDA, ANY HEALTH CARE INSTRUCTIONS OR DECISIONS I MAKE, ORALLY OR IN WRITING, AS LONG AS I HAVE THE CAPACITY TO DO SO, SUPERSEDE ANY HEALTH CARE INSTRUCTIONS OR DECISIONS MADE BY MY SURROGATE MOTHER THAT ARE IN MATERIAL CONFLICT WITH THOSE I MAKE. In the state of Florida, there are strict requirements for a person`s ability to obtain guardianship of another person. There are several situations where guardianship would be required, most often when a loved one is unable to work in one way or another and unable to manage their own affairs. I will notify the following person(s) other than my surrogate mother and send a copy of this document so that they can know the identity of my surrogate mother: persons with a higher priority who are reasonably available must be contacted and informed of the proposed gift, and an appropriate search must be carried out to show that there would have been no objection to the donation by the deceased. Each member of the committee will independently assess the AIP and determine whether rights, such as the ability to make their own financial or health decisions, should be taken care of by the individual, and must submit a report to the courts within 15 days of appointment. Their investigations include physical, mental and functional assessments. (If applicable, list the specific recipient; this must be agreed in advance with the recipient.) IF I LEAVE THIS FIELD [ ], MY SURROGATE`S PERMISSION TO RECEIVE MY HEALTH INFORMATION WILL TAKE EFFECT IMMEDIATELY. PURSUANT TO SECTION 765.104 OF THE LAWS OF FLORIDA, I UNDERSTAND THAT I MAY REVOKE OR CHANGE THIS DESIGNATION AT ANY TIME AS LONG AS I RETAIN MY CAPACITY IN: THE AUTHORITY OF MY SURROGATE MOTHER WILL TAKE EFFECT IF MY PRIMARY CARE PHYSICIAN DETERMINES THAT I AM UNABLE TO MAKE MY OWN HEALTH DECISIONS, UNLESS I INITIAL ONE OR BOTH OF THE FOLLOWING FIELDS: I/We fully understand that this designation allows my/our agent to make health care decisions for a minor and to give, refuse or revoke consent on my/our behalf, to request public services to cover the cost of health care, and to authorize the admission or transfer of a minor to or from an institution health care.

I understand the whole meaning of this statement, and I am emotionally and mentally capable of making this statement. The court appoints a lawyer for the AIP if it does not yet have a lawyer, and the appointed lawyer must be pre-approved to serve in such cases. Signed by the donor and the following witnesses in the presence of each other: consent to the anatomical donation of the body of the deceased for any purpose specified in this part. Except in the cases provided for in § 765.512, in the absence of an effective notice of objection, consent must be obtained only from the person or persons belonging to the highest priority class available. The undersigned hereby makes this anatomical gift, if it is medically justifiable, to act on death. .