© 2005 National
GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE - PAGE 4 OF 12
(3) GENERAL POWERS OF HEALTH CARE AGENT
My health care agent will make health care decisions for me when I am unable to
make my health care decisions or I choose to have my health care agent make
my health care decisions. My health care agent will have the same authority to
make any health care decision that I could make.
My health care agent's authority includes, for example, the power to:
Admit me to or discharge me from any hospital, skilled nursing facility,
hospice, or other health care facility or service;
Request, consent to, withhold, or withdraw any type of health care; and
Contract for any health care facility or service for me, and to obligate me
to pay for these services (and my health care agent will not be financially
liable for any services or care contracted for me or on my behalf).
My health care agent will be my personal representative for all purposes of
federal or state law related to privacy of medical records (including the Health
Insurance Portability and Accountability Act of 1996) and will have the same
access to my medical records that I have and can disclose the contents of my
medical records to others for my ongoing health care.
My health care agent may accompany me in an ambulance or air ambulance if in
the opinion of the ambulance personnel protocol permits a passenger and my
health care agent may visit or consult with me in person while I am in a hospital,
skilled nursing facility, hospice, or other health care facility or service if its
protocol permits visitation.
My health care agent may present a copy of this advance directive for health
care in lieu of the original and the copy will have the same meaning and effect as
I understand that, under Georgia law:
My health care agent may refuse to act as my health care agent;
A court can take away the powers of my health care agent if it finds that
my health care agent is not acting properly; and
My health care agent does not have the power to make health care
decisions for me regarding psychosurgery, sterilization, or treatment or
involuntary hospitalization for mental or emotional illness, mental
retardation, or addictive disease.
(4) GUIDANCE FOR HEALTH CARE AGENT
When making health care decisions for me, my health care agent should think
about what action would be consistent with past conversations we have had, my
treatment preferences as expressed in PART TWO (if I have filled out PART
TWO), my religious and other beliefs and values, and how I have handled
medical and other important issues in the past. If what I would decide is still
unclear, then my health care agent should make decisions for me that my health
care agent believes are in my best interest, considering the benefits, burdens,
and risks of my current circumstances and treatment options.