MEDICAL
POWER OF ATTORNEY:
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JACK
G. NEAL
ATTORNEY AND COUNSELOR AT LAW P. O. BOX 1148 ? ROANOKE, TEXAS 76262 1 800 XXX?XXXX ? (FAX) 1 800 XXX?XXXX |
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Questionnaire1
DOCUMENTS FOR PERIODS OF |
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MEDICAL POWER OF
ATTORNEY: This document appoints a person (attorney-in-fact)
to make medical decisions for you in the event your physician certifies
in writing that you are incompetent to make your own health care decisions.
You can place a limitation on the decision making authority of your medical
attorney-in-fact. However, this document grants full powers to your medical
attorney-in-fact. In any event the medical attorney-in-fact may not consent
to the following: (1) involuntary inpatient mental health services; (2)
convulsive (electric shock) treatments; (3) psychosurgery; (4) abortion;
or (5) the omission of care primarily intended for your comfort. Also
your physician cannot give or withhold any treatment if you object, even
if you are incompetent. Revocation of the Medical Power of Attorney can be done at any time provided you are competent. |
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