FL Local

Designation of Health Care Surrogate for a Minor

Seventeenth Judicial Circuit Court · Guardianship

Verified current as of October 27, 2026

Florida statutory form a minor's parents or legal guardian sign under section 765.2038 to designate a health care surrogate who can make health care decisions for the child.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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