WebMy patient advocate has authority to consent to or refuse treatment on my behalf, to arrange medical and personal services for me, including admission to a hospital or … Webdoctor, your proposed patient advocate, an employee of a health facility or program where you are a patient or client, a person named in your will or an employee of your health or life insurance provider. ... Ann Arbor, Michigan 48108 . If you send your form through the mail, the registry will maintain an electronic copy and the original will ...
Advance Medical Directives - University of Michigan Health-West
WebThe Michigan patient advocate designation, also known as ‘Form DCH-3916’ respects the US statutes §§ 700.5506 to .5512 and requires 2 witness. Completion of the document by the patient who is usually … WebGet any template from 85,000 legal documents such as Michigan Health Care Proxy as Living Will with Designation of Patient Advocate on-line with US Legal Forms. Every … ukuleles for schools
Advance Directives: Durable Power of Attorney for Health Care
WebCall 616.774.7615 Email the advance care team Use our online tool Clarify your health care preferences and prepare advance directives with our secure online tool. Request an account Log in to your account Get paper forms Download forms and a guide for completion For health professionals Webn's Statutory Will and Patient Advocate law, and organ donation. This booklet is not intended to replace the advice of legal professionals when it . comes to making long-term care and end-of-life decisions. For additional information or if you are in need of a referral for legal counsel, please contact: State Bar of Michigan. Michael Franck ... WebThis form meets the legal requirements for the State of Michigan. Patient Advocate Designation for Health Care Decisions (Durable Power of Attorney for Healthcare) I, (print your full name) living at am of sound mind, and I voluntarily choose the following as my patient advocate and successor advocates to make care, ukulele royalty free music