Alternate Health Care Representative

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1. ABOUT ME. 2. MY HEALTH CARE REPRESENTATIVE.

(6 days ago) WEBappointment, a health care representative will be appointed for you in the order of priority set forth in ORS 127.635(2). 1. ABOUT ME. Name: Date of Birth: Telephone numbers: …

https://www.oregon.gov/oha/PH/ABOUT/Documents/Appointing-Healthcare-Representative.pdf

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DRAFT—August 17, 2021 Your Guide to the Oregon Advance …

(2 days ago) WEB• A second alternate. The health care representative you choose can NOT be your health care provider (see ORS 127.505 for definition) or the owner, operator, or …

https://www.oregon.gov/oha/PH/ABOUT/Documents/ADAC/Advance-Directive-Users-Guide-8.17.21.pdf

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Choosing a Health Care Agent, Surrogate or Proxy - CaringInfo

(3 days ago) WEBChoosing a Healthcare Agent. A healthcare agent is also known as a surrogate or proxy and is someone you designate and empower to make medical decisions for you if, at …

https://www.caringinfo.org/planning/advance-directives/choosing-a-healthcare-agent/

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Choosing A Health Care Proxy National Institute on Aging

(9 days ago) WEBIn most states, a health care proxy must be age 18 or older. In Alabama and Nebraska, a proxy must be age 19 or older. In all cases, a proxy must be of sound mind. Some …

https://www.nia.nih.gov/health/advance-care-planning/choosing-health-care-proxy

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Your Guide to the Oregon Advance Directive for Health Care

(7 days ago) WEBSection 2. My Health Care Representative(s) This is where you appoint at least one health care representative. You can appoint up to three. They are: • A primary health …

https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le3942.pdf

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Choosing a Health Care Representative Goals of Care Coalition of …

(9 days ago) WEBA Health Care Representative (also known as a health care proxy, health care agent, power of attorney for health care, durable power of attorney for health care or …

https://goalsofcare.org/patients-family-caregivers/what-is-advance-care-planning/choosing-a-health-care-representative/

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ADVANCE DIRECTIVE FOR HEALTH CARE - Englewood Health

(2 days ago) WEBA. My health care representative(s)? B. My physician or other health care provider? C. The hospital or nursing home which I am about to enter? D. Family members, friends, …

https://www.englewoodhealth.org/wp-content/uploads/2015/06/AdvanceDirective-instructions.pdf

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FREQUENTLY ASKED QUESTIONS (FAQ) REGARDING …

(3 days ago) WEBI authorize my representative (or alternate) to direct my health care when I can’t do so. NOTE: You may not appoint your doctor, an employee of your doctor, or an owner, …

https://www.theportlandclinic.com/wp-content/uploads/2020/01/Advance_Directive_Form_11121.pdf

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Instructions for completing your Advance Directive - OHSU

(7 days ago) WEBSECOND ALTERNATE HEALTH CARE REPRESENTATIVE Printed name Signature or other verification of acceptance Date . 6 3. INSTRUCTIONS TO MY HEALTH CARE …

https://www.ohsu.edu/sites/default/files/2022-06/2020-Advance-Directives-Instructions-WEB-ENG.pdf

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ORS 127.510 – Appointment of health care representative

(6 days ago) WEBA capable adult may use a form appointing a health care representative to appoint one or more competent adults to serve as alternate health care representatives for the …

https://oregon.public.law/statutes/ors_127.510

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Things to know before you complete your Advance Directive …

(8 days ago) WEBHow to pick a health care representative(s) • You can appoint at least one health care representative or up to three: a primary health care representative, a first alternate …

https://www.salemhealth.org/docs/default-source/patient-guide/advance-directive/shhc-2474_design_ad-explanation-packet_8-5x11-final-rev2.pdf?sfvrsn=44c9d7c4_2

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Advance Directive User’s Guide - Oregon.gov

(7 days ago) WEBAppointment of a Health Care Representative • You should appoint at least one health care representative. This form allows you to appoint up to three representatives; a …

https://www.oregon.gov/oha/PH/ABOUT/Documents/ADAC/Advance-Directive-User%27s-Guide-June-2020.pdf

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OREGON ADVANCE DIRECTIVE FOR HEALTHCARE - Oregon …

(2 days ago) WEBI choose the following people to be my alternate health care representatives if my first choice is not available to make health care decisions for me or if I cancel the first health …

https://elderlaw.osbar.org/files/2021/08/Advance-Directive-2021-Form.pdf

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ORS 127.527 – Form for appointing health care representative

(6 days ago) WEBAppointment of health care representative and alternate health care representative 127.515 Execution 127.520 Persons not eligible to serve as health care representative …

https://oregon.public.law/statutes/ors_127.527

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Choosing a Health Care Agent Kaiser Permanente

(3 days ago) WEBChoose your health care agent (health care proxy, health care surrogate) carefully. You can choose a family member or someone else. Talk to the person before you decide. …

https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.choosing-a-health-care-agent.aa114352

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Health Care Agents: What They Are, How They Help, and How to …

(3 days ago) WEBLook for someone you can talk to about hard decisions and who will support your choices. Your agent may have to ask doctors a lot of questions and push hard for …

https://www.webmd.com/a-to-z-guides/what-are-health-care-agents

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ORS 127.529 – Form of advance directive - OregonLaws

(6 days ago) WEBAppointment of health care representative and alternate health care representative 127.515 Execution 127.520 Persons not eligible to serve as health care representative …

https://oregon.public.law/statutes/ors_127.529

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Frequently Asked Questions About the Health Care Proxy HSS

(1 days ago) WEBA health care proxy is a document that allows you to appoint another person (s) as your health care agent to make health care decisions on your behalf if you are no longer …

https://www.hss.edu/health-care-proxy.asp

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DRAFT—July 29, 2021 Your Guide to the Oregon Advance …

(5 days ago) WEBSection 2. My Health Care Representative(s) This is where you appoint at least one health care representative. This form allows you to appoint up to three. They …

https://www.oregon.gov/oha/PH/ABOUT/Documents/ADAC/Advance-Directive-User%27s-Guide-7.29.21.pdf

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Department of Human Services Personal Preference Program (PPP)

(7 days ago) WEBThe New Jersey Personal Preference Program (PPP) offers an alternative way for NJ FamilyCare members who qualify for the Personal Care Assistant (PCA) services …

https://www.nj.gov/humanservices/dmahs/clients/njppp.html

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Request for Personal Representative - Horizon BCBSNJ

(5 days ago) WEBNote: The appointment will be effective on the date that Horizon BCBSNJ processes and approves the form. Mail this form to: Horizon BCBSNJ, Attn: HIPAA Appeals Unit PO …

https://www.horizonblue.com/shbp/securecms-documents/778/32426_Request_for_Appt_of_Legal_Personal_Rep.pdf

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