Revocation of Health Care Durable Power of Attorney?

Revocation of Health Care Durable Power of Attorney?
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Revocation of Health Care Durable Power of Attorney(Download)I, __________________, (“Declarant”), of ____________________________________(Address), do hereby revoke any and all power and authority granted to my physician, health care provider, or health care agent in the past, but especially the previous Health Care Durable Power Attorney attached in Exhibit 1, and dated _________________, appointing ________________________ to act as my health care Agent. All such Durable Power of Attorneys, including but not limited to the one named above, are hereby revoked and withdrawn and this document provides notice of such revocation.______________________ ___________________________Declarant My PhysicianI acknowledge and declare I am not the Declarant's spouse or heir at the time of witnessing t
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