Healthcare Directive for [Client Name]
I, [Client Name], residing at [Client Address], hereby appoint [Name of Appointed Agent] as my healthcare agent to make medical decisions on my behalf in the event that I am unable to do so due to incapacity.
In exercising this authority, my appointed healthcare agent shall make healthcare decisions for me in accordance with my wishes and best interests to the extent known, or otherwise in accordance with applicable law.
I understand that this healthcare directive will remain in effect until revoked by me in writing or until my death.
Signed this [Date] day of [Month, Year].
Client Signature: ________________________
Witness Signature: ________________________
Consent for Medical Treatment
I, [Client Name], hereby authorize [Name of Senior Care Business] to provide and arrange for necessary medical treatment and services for me during the course of receiving senior care services.
I understand that medical treatment may include, but is not limited to, administration of medications, assistance with activities of daily living, coordination of medical appointments, and emergency medical care.
I authorize [Name of Senior Care Business] to disclose my medical information to healthcare providers as necessary for the purpose of coordinating my care.
I understand that I have the right to refuse medical treatment and services, and that I may revoke this consent at any time by providing written notice to [Name of Senior Care Business].
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