My WebLink
|
Help
|
About
|
Sign Out
Browse
202402751
LFImages
>
Deeds
>
Deeds By Year
>
2024
>
202402751
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/19/2024 3:42:05 PM
Creation date
6/19/2024 3:42:04 PM
Metadata
Fields
Template:
DEEDS
Inst Number
202402751
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
6
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
SEILER & PARKER, <br />P.C., L.L.O. <br />LAW OFFICES <br />726 EAST SIDE BLVD. <br />P.O. BOX 1288 <br />HASTINGS, NE 68902 <br />(402) 463-3125 <br />202402751 <br />(7) To engage and dismiss agents, counsel and employees and to appoint and <br />remove at pleasure and substitute for any agent of my said attorney, in <br />respect to all or any of the matters or things herein mentioned and upon such <br />terms as my attorney shall think fit. <br />(8) To have access to any safe deposit box. <br />(9) To exercise the authority relating to matters involving my health and medical <br />care, that if I am unable to give an informed consent to medical treatment, my <br />attorney shall give or withhold such consent for me based upon any treatment <br />choices that I have expressed while competent, whether under this instrument <br />or otherwise. To employ and discharge medical personnel including <br />physicians, psychiatrists, dentists, nurses and therapists as my attorney shall <br />deem necessary for my physical, mental and emotional well-being, and to pay <br />them, or any of them, reasonable compensation, and to give consent to any <br />medical procedures, tests or treatments, including surgery, to arrange for my <br />hospitalization, convalescent care and hospice or home care; to release any <br />and all medical records of any hospital, doctor, regional center (mental <br />hospital) or hospice; to make claim for medical expenses and payments from <br />any insurance company. <br />To serve as my personal representative for all purposes of the Health <br />Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, and <br />the regulations in 45 C.F.R. Sec. 160 et seq., and any other applicable <br />federal, state or local laws or regulations (collectively "HIPAA"), including the <br />authority to request, receive, obtain and review, and be granted full and <br />unlimited access to, and consent to the disclosure of complete unredacted <br />copies of any and all health, medical and financial information and any <br />information or records referred to in 45 C.F.R. Sec. 164.501 and regulated by <br />the Standards for Privacy of Individually Identifiable Health Information found <br />in 65 Fed. Reg. 82462 as protected private records or otherwise covered <br />under HIPAA. I understand that health and medical records can include <br />information relating to subjects such as sexually transmitted diseases, <br />acquired immunodeficiency syndrome (AIDS), AIDS-related complex (ARC) <br />and human immunodeficiency virus (HIV), behavioral or mental health <br />services, and treatment for alcohol or drug abuse or addiction. I understand <br />that I may have access to or receive an accounting of the information to be <br />used or disclosed as provided in 45 C.F.R. Sec. 164.524 et seq. I further <br />understand that authorizing the disclosure of this health information is <br />voluntary and that I can refuse to sign this authorization. I further understand <br />that any disclosure of this information carries with it the potential for an <br />
The URL can be used to link to this page
Your browser does not support the video tag.