[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-192134-105":53,"doc-detail-192134-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","pennsylvania","Pennsylvania","","This document is a healthcare agent designation form for Pennsylvania. It allows individuals to appoint a health care agent to make medical decisions on their behalf if they are unable to do so themselves. The form requires the principal's name and relationship, address, and telephone number, including home and work numbers, as well as an email address. It strongly advises against appointing a doctor or healthcare provider as an agent unless they are related by blood, marriage, or adoption. The document also provides space to name first and second alternative health care agents, along with their contact information, in case the primary agent is unavailable or unable to act. The purpose of naming a health care agent is to ensure that one's wishes for treatment are known and followed, even when immediate family might not be able to make those decisions. Failure to name an agent means healthcare providers will seek guidance from family or close acquaintances regarding the patient's preferences.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/pennsylvania/192134/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/pennsylvania/192134.png","ImageObject",442,249,{"name":88,"@type":89},"Theodora","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-07","2026-09-03",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of this document?","Question",{"text":109,"@type":110},"This document is a Pennsylvania Health Care Agent Designation form, allowing you to appoint someone to make medical decisions for you if you cannot. This ensures your treatment preferences are known and followed.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Who can be appointed as a health care agent?",{"text":114,"@type":110},"You can appoint any adult to be your health care agent, but not your doctor or other healthcare provider unless they are related to you by blood, marriage, or adoption.",{"name":116,"@type":107,"acceptedAnswer":117},"What happens if my primary health care agent is unavailable?",{"text":118,"@type":110},"The document allows you to name first and second alternative health care agents in order. These individuals will act if your primary agent is not readily available or if your agent is your spouse and a divorce action has been filed.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},192134,1788413192,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":126,"read_time":141},687197207919,"https://ap-avatar.wpscdn.com/avatar/a000253d6f5f7c60be?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779446848396160552","| ( Name and relationship)\u003Cbr>Address:   Telephone Number: Home   Work   Email:  \u003Cbr>IF YOU DO NOT NAME A HEALTH CARE AGENT, HEALTH CARE PROVIDERS WILL ASK YOUR FAMILY OR AN ADULT WHO KNOWS YOUR PREFERENCES AND VALUES FOR HELP IN DETERMINING YOUR WISHES FOR TREATMENT.\u003Cbr>NOTE THAT YOU MAY NOT APPOINT YOUR DOCTOR OR OTHER HEALTHCARE PROVIDER AS YOUR HEALTH CARE AGENT UNLESS RELATED TO YOU BY BLOOD, MARRIAGE, OR ADOPTION.\u003Cbr>If my health care agent is not readily available or if my health care agent is my spouse and an action for divorce is filed by either of us after the date of this document, I appoint the person or persons named below in the order named. (It is helpful, but not required, to name alternative health care agents.)\u003Cbr>First Alternative Health Care Agent: |\n| --- |\n| ( Name and relationship)\u003Cbr>Address:   Telephone Number: Home   Work   Email:  \u003Cbr>Second Alternative Health Care Agent: |","cbCaif7c1OkyS2Pt","https://ap.wps.com/l/cbCaif7c1OkyS2Pt","pdf",879434,19,"English","# Pennsylvania Health Care Agent Designation\n## Appointing a Health Care Agent\n## Alternative Health Care Agents","[{\"question\":\"What is the purpose of this document?\",\"answer\":\"This document is a Pennsylvania Health Care Agent Designation form, allowing you to appoint someone to make medical decisions for you if you cannot. This ensures your treatment preferences are known and followed.\"},{\"question\":\"Who can be appointed as a health care agent?\",\"answer\":\"You can appoint any adult to be your health care agent, but not your doctor or other healthcare provider unless they are related to you by blood, marriage, or adoption.\"},{\"question\":\"What happens if my primary health care agent is unavailable?\",\"answer\":\"The document allows you to name first and second alternative health care agents in order. These individuals will act if your primary agent is not readily available or if your agent is your spouse and a divorce action has been filed.\"}]","Pennsylvania | PDF",7]