Living wills and health care directives – what is involved?
Posted By Health on November 28, 2010
(iv) If I am a health care provider or an employee of a health care provider giving direct
care to the person listed above in (A), I must initial this box: [ ]
I certify that the information in (i) through (iv) is true and correct.
________________________________________
(Signature of Witness Two)
Address:
________________________________________________________________________________________________________________________________________________
REMINDER: Keep this document with your personal papers in a safe place (not in a safe deposit box). Give signed copies to your doctors, family, close friends, health care agent, and alternate health care agent. Make sure your doctor is willing to follow your wishes. This document should be part of your medical record at your physician's office and at the hospital, home care agency, hospice, or nursing facility where you receive your care.
Some of this information was taken from Minnesota statute section 145C.16. This should not be considered legal advice, it is provided as a public service.
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