Requirements of Creating a PAD

  1. Person must be of “Sound Mind” and free of coercion.
  2. Two disinterested witnesses must attest to such “DecisionMaking Capacity” and to freedom from coercion
  3. Must have two disinterested witness, who can attest to sound mind and free of coercion when signing form.
  4. Person’s signature or mark & date the person signed the PAD form 2 disinterested witnesses’ signatures or marks and the date that the disinterested witnesses signed the PAD form
  5. Agent’s signature or mark and the date the agent signed the PAD form (if applicable)
  6. Name, Address, and Telephone number of adult’s Health Care Provider (if applicable)
  7. Name of the Health Care Facility in which the adult is enrolled (if applicable)
Category: Creating Your Own PAD Form

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