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Living Will / Advanced Care Directive - Page 7 of 9

LIVING WILL/ ADVANCED CARE DIRECTIVE


Florida statutes require that we provide our patient's with information concerning their rights to a Living Will and or an Advanced Directive.


An Advanced Directive is a witnessed statement made by a competent member regarding his/her wishes or desires in regards to future health care, (for example provide artificial life support). A Living Will is a formalized version of an Advanced Directive


Please take this information home and carefully review it. If you wish to execute an Advanced Directive or a Living Will, please notify this office on your next visit.


PLEASE CHECK ONE: