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Illinois Statutory Short Form. Power of Attorney for Health Care. NOTICE TO THE INDIVIDUAL SIGNING THE POWER OF ATTORNEY FOR HEALTH CARE. No one can predict when a serious illness or accident might occur. When it does, you may need someone else to speak or make health care decisions for you.
Power of Attorney for Health Care Illinois Statutory Short Form. Notice to the Individuals Signing the Power of Attorney for Health Care. No one can predict when a serious illness or accident might occur. When it does, you may need someone else to speak or make health care decisions for you.
Short Form Power of Attorney-Health Care Advanced Directive: The State of Illinois recognizes the right of adults to control all aspects of his or her personal care and medical treatment, including the right to decline medical treatment or to direct that it be withdrawn, even if death ensues.
powers to make health care decisions for you, including power to require, consent to or withdraw any type of personal care or medical treatment for any physical or mental condition and to admit you to or dis-charge you from any hospital, home or other institution. This form does not impose a duty on your agent to
My agent can make health care decisions for me, including: • Deciding to accept, withdraw or decline treatment for any physical or mental condition of mine, including life-and-death decisions.
Systems of care are designed to: Ensure availability and access to a broad, flexible array of effective, community-based services and supports for children and their families that address their emotional, social, educational and physical needs, including traditional and nontraditional services as well as natural and informal supports.
ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR HEALTH CARE . POWER OF ATTORNEY made this day of (month) (year) 1. I, , (insert name and address of principal) hereby appoint: (insert name and address of agent)