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Health Care related fill-in-the-blank forms for use in all states including Authorization, Consent, Mental Competency, Personal Injury, Medical Releases and more.

Health Care
Medical Consent
2 Products
Organ Donation
1 Products
Power of Attorney for Health Care
2 Products

Advance Health Care Directive
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Advance Health Care Directive

This Advance Health Care Directive contains a Power of Attorney for Health Care, a Living Will and optional organ donation instructions. It enables a person to name another individual as their agent to make health-care decisions for them if they become incapable of making their own decisions.

Our price: $4.95

Authorization for Medical Treatment
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Authorization for Medical Treatment

This authorization is important to have signed and filed, especially if you are subject to needing medical treatment.

Our price: $2.95

Authorization to Disclose Health Information
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Authorization to Disclose Health Information

This Authorization to Disclose Health Information allows you the flexibility to determine what types of information are to be released and under what circumstances.

Our price: $2.95

Consent to Autopsy
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Consent to Autopsy

This Consent to Autopsy form provides official consent to by a relative or person with legal standing regarding the individual upon who the autopsy is conducted.

Our price: $6.95

Health Care Power of Attorney
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Health Care Power of Attorney

This Durable Power of Attorney gives the person you name as your Agent the authority to make any and all health care decisions for you when you are no longer capable of making them yourself.

Our price: $5.95

Life Sustaining Statute
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Life Sustaining Statute

The term life support includes any life-sustaining medical treatment, procedure, or intervention that, in the judgment of the attending physician, when applied to the patient, would serve only to prolong the dying process.

Our price: $1.95

Patient Referral Request
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Patient Referral Request

The purpose of this fill in the blank Patient Referral Request letter is to obtain a referral to a specialist.

Our price: $2.50

Physician's Statement of Mental Competency
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Physician's Statement of Mental Competency

The physician statement of mental competency should accompany your power of attorney, if possible.

Our price: $6.95

Request for Medical Records & Release Authorization
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Request for Medical Records & Release Authorization

This Request and Release Authorization lends formality and precision to your request to release medical records.

Our price: $5.95

Response to Denial of Medical Insurance Claim
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Response to Denial of Medical Insurance Claim

Denial of Medical Claims in the first round is like tennis, as they lob the ball over the net to "see what you will do." It is standard practice for them.

Our price: $2.50

Revocation of Previous Living Will and Medical Care Restrictions
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Revocation of Previous Living Will and Medical Care Restrictions

Revocations are generally made because of a serious change in attitude. Therefore, you should be very careful to have your wishes implemented.

Our price: $5.95

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