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Florida Health Care Surrogate

In Florida, the document that names someone to make medical decisions for you when you cannot speak for yourself is called a health care surrogate. Elsewhere it goes by medical power of attorney or advance directive agent designation: same role, local name. In Florida, a health care surrogate generally must be signed by two witnesses; notarization is not required (Fla. Stat. 765.202).

This template walks you through naming your agent and an alternate, describing the authority you grant, and signing it the way Florida expects. Download the finished document in Word and PDF.

Florida signing requirements

Florida health care surrogate signing requirements at a glance
NotarizationNot required by statute
WitnessesTwo witnesses
StatuteFla. Stat. 765.202

At least one witness must be neither the principal's spouse nor a blood relative.

Florida has an official form: the state publishes a suggested statutory surrogate form (Fla. Stat. 765.203). Our guided questionnaire covers the same decisions in plain language, and you can compare your finished document with the official form before signing.

Verify before you rely on it

Power of attorney statutes change, and banks, hospitals, and county recorders can have their own acceptance practices. Confirm the current Florida requirement in the statute cited above (or with your state's self-help resources) before signing your health care surrogate.

How this template works in Florida

Answer guided questions about the principal, the agent, and the powers you grant, and the document writes itself in front of you. Then sign it following the Florida requirements above and download it in Word and PDF.

The form, the live preview, and the full guide live on the main Medical Power of Attorney page.

Other power of attorney forms for Florida

Not sure this is the right variant? Each one solves a different problem: general authority, authority that survives incapacity, medical decisions, or a single defined task.

Medical Power of Attorney in other states