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Ch. 765 F.S. Part II

Designation of Health Care Surrogate

Name someone to make medical decisions for you when you cannot speak for yourself. Includes HIPAA release authority and optional immediate authority election.

$49

One-time · ~10 min

What's Included

Primary and alternate Surrogate designation
Health care decision-making authority
HIPAA health information release
Sensitive health info disclosure categories
Optional immediate authority election
Restricted decisions requiring express authorization (§765.113)
Revocation rights and procedures (§765.104)
Witness signature blocks

How It Works

1

Answer plain-English questions — one at a time

2

Review your answers and pay securely via Stripe

3

Receive your editable Word document by email immediately

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Takes about ~10 min
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Editable Word document by email

$49

One-time payment

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Frequently Asked Questions

Is this document valid in Florida?

Each template is designed for the Florida-specific document identified on the page and includes its stated execution blocks and instructions.

Do I need witnesses and a notary?

Yes. Florida law requires most estate planning documents to be signed before 2 witnesses and a notary public. We provide clear execution instructions with every document.

What format will I receive?

An editable Word (DOCX) document, emailed to you immediately after checkout.