Indiana Healthcare Representative Form - Authorized representative for health coverage. Record of health care representative. The indiana state department of health encourages individuals to consult with their attorney, health planner, and health care. Family and social services administration. Appointment of health care representative (page 1of 1) appointment of health care representative (page 1of 1). A health care representative is a person chosen by you to make healthcare decisions, including. If my health care representative does not know my wishes, my health care representative must act in good faith and in my best interests.
Authorized representative for health coverage. Record of health care representative. Family and social services administration. The indiana state department of health encourages individuals to consult with their attorney, health planner, and health care. Appointment of health care representative (page 1of 1) appointment of health care representative (page 1of 1). A health care representative is a person chosen by you to make healthcare decisions, including. If my health care representative does not know my wishes, my health care representative must act in good faith and in my best interests.