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Short Form Power of Attorney-Health Care

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Advanced Directive: The State of Illinois recognizes the right of adults to control all aspects of his or her personal care and medical treatment, including the right to decline medical treatment or to direct that it be withdrawn, even if death ensues. This form can be used to designate agents to act on an individual's behalf in regard to health care matters if the individual becomes unable to do so. Please see below disclaimer.**

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Provided by

Guardianship and Advocacy Commission