Sponsored By The Law Office of Clifford J. Geismar P.A.


Summary of:
Florida Living Will (Medical Authorization)

SAMPLE

The Name of the Person signing this Living Will is __________

That Person's address is __________

Directives of the living will are:

The Living Will is to be signed in the City of (Your City) , County of ;(Your County) , State of Florida

Make sure to give a copy of this notification to any of your physicians, who have a duty to make such copy a part of your medical records.


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Law Office of Clifford J. Geismar
2431 Aloma Avenue, Suite 150
Winter Park, Florida 32792
407· 673· 1087 1· 888· 673· 1087
Fax : 407· 673· 0375

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Revised: July 8, 2004 .
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