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<br /> 3. xo pro�vide �ox euch campt�nionshi�g �or mo a� will me�x �ny -
<br /> needs and pre�erenc�s mt a C,imh when z a�m disrxk�led r�r othex�wie�e
<br /> ux�able tn mxrnnge: !or such ccxnPnniornehiy� my�e�l�t
<br /> 4. To makb a�vance arrangemen�:a xo� r�►�r �uncr�i �+nc� ?�u�^���., ,-__
<br /> �.nal.ttding the pu�cha�e og a� bux�fe�1 p�.ot and mar�p�ria eeuch other
<br /> related arra�ngemenee ae my A9�nt oha1L �eem app • p _
<br /> 5. To neminate or getiC�.on for the appointimen� of my Agent Qr
<br /> any person my Agen� deems apFropr�.ate as primax�y, euacessor or
<br /> alternate �uardian, guardian ad 7.item ox oonaervator or to any. . .
<br /> fiduciary o��ac� (a11 ot suc:� oE�ic�s ..of gu�axt�ian,. et al . being
<br /> � �hereinattex 'rPfeerrec� t� as ".���sonaZ R�praBer��.��ive��) repreee�ntix�g
<br /> � � � 3.nLazes*_ s�� �mine or anY �rc��rson �or whom � may have �
<br /> me sar�,�,�r�3� o�,��ment.� ta
<br /> ' ri.gh�;; �br dut� .to nomi�nate or petition for such app :�.
<br /> ' . �. � gxa�a�,;;�o� any� �uch Persanal Representativa �13. af� t�e,powere�;under
<br /> � ap��.�t�;ii�bis law that x ,�im permitted tQ ��r�'a►nt; and Co w�i.ilve any �bond . . .;
<br /> req�.;irement for auch P��.�xaonal �teQreee Yr t��t i v�.t h at :[ am.;��xmxtted by .,;,�.
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<br /> , law Go waiv�. ' ,, � :���
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<br /> ���-���.'"�;�i t 1 .a �t..et n� a t a � `
<br /> ' My Ager�C is authorw.a'z�e.cl��,: in �y Rgen�=��,a: �c�:�� ;;�.. � �,- ,, �; - ,
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<br /> discreti.an fxan tica�; !�a �'�a�m� an8 at an�r� ''�;�:ine �o .pxer�is�;��h�.. 1.
<br /> to mattere invol,v,�i�g my rsea�lth �• •
<br /> authority deacribeiB �i�].bw relating .,, �;;�,,
<br /> and mudica�. ca►re. In eacercieinq the authori.t�y grrinCed ta my 7lgent .
<br /> herein, my Agent ie inetructed that my AgenC'•,,�should try to diacus�
<br /> with nm the Bpecifice df anY pxopoeed d�cision regarding ac� medical
<br /> care a�nd tr�atment if I am able �o C°�iGa etzucted t�e�.f Iv�(
<br /> by blinlciag mY eY��• MY A9�nt is further i
<br /> urx�ble to give �n in�ormed cons�nt ta medical treatment, n►y, 1►qent
<br /> � ahall give or withhold su�:h consent iar me based upo�a��ariy treararer►G
<br /> choices that I have expreesed while Gompetent, wheG'k��r under �hia �����.
<br /> ingtxument or atherwise. If my Agent cannc!t .;.deCez�mine the
<br /> trea�tn�nt choiae I �ould want m�de under the ��x'cixtin��.ances. thexi mY ,,;,,,
<br /> Agent ahould make such choiae fox �e based updn �"svhat my Agen� �,`_�,;;:�
<br /> �. believes to be in my best intereets. Accordingiy, my Agent is '
<br /> ,
<br /> . authorized ae folloWe:
<br /> . . 1. To requcet► receive, and re�riew any infarma��.on, verbal ox
<br /> •� : wr3ttpn, regarding my pereonal aFfairs or my phy�ical pr mexxta].
<br /> Y�ealtih� including medical a:.� �:��F;��Z =°C=r��� an.d tn execute any
<br /> re],eaees nr other dn�cumen.ts that may' bp rec�uired in c�r.der ta olatai�
<br /> sucri in�axmatiou, and to disclose such in�orntiation to such persons,
<br /> nrgan3.zationB, fiz'ms or cArpQratioaa ae my Agent sY�all deem
<br /> - aPPZ'aP�iace;
<br /> 2. To employ �nd diech�rge medica7. personxiel including
<br /> pk�ysicians, p�ychiatrists, dentists, nurs�e, and therapiett� as my
<br /> Agent shall deem aece�s�z�y for my' physical, mental and emational
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