Create your own printable contract — FREE!
Formatted and ready to use with Microsoft Word, Google Docs, or any other word processor that can open the .DOC file format.
Hospital Visitation Authorization
I, ________________________________, residing at ___________________________________, in the city of ______________________________ in _____________________________ County, in the state of ___________________, do hereby swear and depose as to the following information:
Should I become incapacitated, fall ill, become injured, be admitted to a hospital or require care at any medical facility, my desire is that __________________________ be admitted to visit me first and foremost.
That ____________________________ take precedent over any other visitors who wish to see me, even if those persons have blood ties or legal connections to me.
That this authorization be upheld unless I willingly, and being of sound mind, give contrary instructions to competent medical personnel.
____________________________________
Signature & date
_______________________________________
Witness
Address_____________________________
City, state, ZIP________________________
_______________________________________
Witness
Address_____________________________
City, state, ZIP________________________
Create your own printable contract — FREE!
Formatted and ready to use with Microsoft Word, Google Docs, or any other word processor that can open the .DOC file format.
Index of Printable Contract Examples
DISCLAIMER: The contracts contained on PrintableContracts.com are not to be considered as legal advice. All content is for informational purposes, and Savetz Publishing makes no claim as to accuracy, legality or suitability. The site owner shall not be held liable for any errors, omissions or for damages of any kind.
