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201904040
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Last modified
12/9/2019 6:11:29 PM
Creation date
7/12/2019 3:51:58 PM
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DEEDS
Inst Number
201904040
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201904040 <br />6. Grant Releases. lo <tran1, in conjunct ion with any <br />instuuciens given hereunder, releas s to hospital <br />staff, physicians, nurses and other medical and hospital. <br />administrative personnel who act in reliance on <br />instructions given by my attorney iii fact or who render <br />written opinions to my attorney in fact in connection <br />with any matte/ 1 sc:r ibed herein from all liability for <br />damages suffered ered or 1 o be suffered by me; to sign <br />documents titled or purporting to be a "Refusal of <br />Treatment" and "Leaving Hospital_ Against_ Medical Advice" <br />as well .as any necessary waivers of: or releases from <br />liakbi 1 ity required by a hospital or physician. <br />7. Photocopies. To make photocopies of this instrument as <br />frequently and in such quantities as my attorney in fact_ <br />shall deem appropriate. All photocopies shall have the <br />same force and effect as any original. I specifically <br />direct my attorney in fact to have a photocopy of this <br />instrument placed in my medical records if such a copy <br />does not already constitute a part of my medical <br />records. <br />8. Resort to Courts. To seek on my behalf and at my <br />expense: <br />a. A declaratory judgment from any court of competent <br />jurisdiction interpreting the validity of this document or any of <br />the acts authorized by this document, but such declaratory <br />judgment shall not be necessary in order for my attorney in fact <br />to perform any act authorized by this document; or <br />b. A mandatory injunction requiring compliance with my <br />attorney in fact's instructions by any person obligated to comply <br />with instructions given by my attorney in tact; or <br />c. Actual and punitive damages against any person <br />obligated to comply with rnstrHct ion1i,,en by my cn-attorneys in <br />I_act who neral i gently or willfully to i 1 s or refuses to follow such <br />instructions. <br />d. For the purpose of inducing any individual, <br />organization, or entity (:including, but not limited to any <br />physician, hospital, nursing home, insurer, or other party, all <br />of whom w_iil be referred herein as a "person") to act in <br />accordance with the instructions of my co -attorneys in fact as <br />authorized in this document, I hereby represent, warrant and <br />agree that. <br />1. 111) peuson who relies in good tai_th upon the authority. <br />
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