Indiana Healthcare Representative Form. O the hcr must defer to the patient when the patient has capacity. Web • the new health care representative (hcr) combines the roles of the hcr and power of attorney for health care under prior indiana law.
Naming Scout as Health Care Representative
Be sure to select the function(s) that the representative is being authorized to do. If there is no appointed representative, state medical consent laws would determine who may consent to your healthcare. Prepare for your care advance health care directive. I, ____________________________________, give my hcr named below permission to make health care decisions for me if i cannot make decisions for myself, including any health care decisions that i could have made for myself if able. If there is no appointed representative, state medical consent laws would determine who may consent to your healthcare. Web instructions for state form 56184, indiana health care representative appointment there are numerous types of advance directives. Web appointment of health care representative: Web record of health care representative. Agreeing to medical treatment refusing medical treatment stopping medical treatment arranging comfort care my health care representative must follow my wishes and values. You can select more than one representative and choose the same or different functions.
Prepare for your care advance health care directive. Web • the new health care representative (hcr) combines the roles of the hcr and power of attorney for health care under prior indiana law. O the new hcr requires a patient signature + 2 witnesses or a notary public. An individual may always chose to not appoint a health care representative. If there is no appointed representative, state medical consent laws would determine who may consent to your healthcare. Web indiana health care representative my health care representative can make decisions for me if i cannot make and share my own health care decisions. I, ____________________________________, give my hcr named below permission to make health care decisions for me if i cannot make decisions for myself, including any health care decisions that i could have made for myself if able. O the hcr must defer to the patient when the patient has capacity. The indiana state department of health encourages individuals to consult with their attorney, health planner, and health care providers in completing any advance directive. Web section 1 if you want someone to act on your behalf in applying for benefits and/or act for you on an ongoing basis, this form must be completed. Agreeing to medical treatment refusing medical treatment stopping medical treatment arranging comfort care my health care representative must follow my wishes and values.
