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Attached is a brochure that explains all about the Health Care Durable Power of Attorney.
The Kansas Hospice and Palliative Care Organization (KHPCO) is a work group of the LIFE Project Foundation and works to enable every Kansan to access quality care at the end of life. This site has links to find a hospice program in your area.
https://khpco.wordpress.com/find-a-hospice/
► This form is available to print in PDF or Word format at the bottom of this page.
REPORT OF EXAMINATION AND EVALUATION
By a □ physician □ psychologist □ social worker □ other: _____________________________ (In compliance with K.S.A. 59-3064)
Attach additional sheets as necessary.
(1) Date/Location of examination:_______________ , at ______________
(2) Name of proposed ward/conservatee:__________________________
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