![]() To order your forms and brochures by mail, click here. To order your forms and brochures online, click here. * For 2-10 sets, please order by mail or phone. 20 - 99 (forms or brochures) = $.60/form or brochure.100 & above (forms or brochures) = $.35/form or brochure.When sold separately the pricing per designated quantity is as follows: 2 - 10 = $2.00/set (we require a minimum of two sets to be ordered)*.When sold in sets the pricing per designated quantity is as follows: If your organization is not sales tax exempt, the 6% state sales tax will need to be calculated into your order's total amount. The short patient brochure accompanying each form covers more detailed information about the new Durable Power of Attorney for Health Care law.įor those organizations that are sales tax exempt there is a Sales Tax Exemption form included with the order form that must be filled out before the order can be processed. The form provides a patient with the means to appoint a patient advocate to make health care decisions for them if they become incapacitated. The document is designed to be a 'user friendly' form. ![]() The Designation Form is an eight-page booklet. ![]() The forms were developed and approved by the Michigan State Medical Society, the State Bar of Michigan, the Michigan Health and Hospital Association, and the Michigan Osteopathic Association. ![]() Health care and legal groups urge every Michigan resident over 18 years old to complete a Durable Power of Attorney for Health Care Designation Form. You can now decide IN ADVANCE about your health care ![]()
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