Hernando County Community Alliance
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MEDICAL
​POWER of ATTORNEY

for informal caregivers seeking mental health treatment for minors

HERNANDO COUNTY COMMUNITY ALLIANCE, INC. is not a legal firm and is not permitted to engage in the practice of law and therefore, cannot provide you with any instructions or guidance on how to complete the form. HERNANDO COUNTY COMMUNITY ALLIANCE, INC. also cannot provide you with any kind of legal advice or opinion about possible legal rights, remedies, defenses, options. Use at your own risk -HERNANDO COUNTY COMMUNITY ALLIANCE, INC. cannot represent or guarantee that the information is accurate, up to date, or appropriate for your situation; and is not responsible for any loss, injury, liability, or damage related to your use of this form. To consult an attorney, you may contact the Florida Bar Association attorney referral service (800) 342-8011.
power_of_atty___health_care_surrogate_for_minor_child_v9.20.19.pdf
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  • Home
  • Executive Roundtable
  • Meetings
  • Membership
  • Upcoming Events
  • Links
  • Power of Attorney Form