Health Care Surrogate Designation Form (links to FloridaHealthFinder.gov)
Thirteenth Judicial Circuit Court · Guardianship
Verified current as of October 27, 2026
Florida statutory form an adult signs under section 765.203 to designate a health care surrogate who can make health care decisions if the adult becomes unable to.
This form must be printed and filled by hand, or opened in Adobe Acrobat.