Checklist #3: Adult Hospital, Hospice or Nursing Home Patients Without Medical Decision-Making Capacity Who Do Not Have a Health Care Proxy, and Decision-Maker Is Public Health Law Surrogate (A Surrogate Selected From the Surrogate List) - New York
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Checklist #3: Adult Hospital, Hospice or Nursing Home Patients Without Medical Decision-Making Capacity Who Do Not Have a Health Care Proxy, and Decision-Maker Is Public Health Law Surrogate (A Surrogate Selected From the Surrogate List) is a legal document that was released by the New York State Department of Health - a government authority operating within New York.
Form Details:
- Released on December 1, 2022;
- The latest edition currently provided by the New York State Department of Health;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
Download Checklist #3: Adult Hospital, Hospice or Nursing Home Patients Without Medical Decision-Making Capacity Who Do Not Have a Health Care Proxy, and Decision-Maker Is Public Health Law Surrogate (A Surrogate Selected From the Surrogate List) - New York
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