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Web Florida Living Will Declaration I, (Print Name)_____(Date Of Birth) ___/___/___ Am Emotionally And Mentally Competent To Complete This Document Willfully And Voluntarily.

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Web pursuant to section 765.204(3), florida states, any instructions of health care decisions i make, either verbally or in writing, while i possess capacity shall supercede. The forms included on the florida agency for health care administration’s health care advance directives. Living will declaration made this day of 2 , i willfully and voluntarily make known my desire that my dying not be. Web florida living will form word.

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