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NC Planning’s FREE Health Care Powers of Attorney and HIPAA Authorizations

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Thank you for your interest in NC Planning’s Free Health Care Directives Program.

 

Please watch the video below and then complete the fields and click Submit to get started. Again, there is no fee for this service.

 

Step One: Watch the video below.

Step Two: Complete the fields below and click Submit.

Step Three: NC Planning will follow up to review with you and help with signing to get them in place and effective.

 

If you have any questions please feel free to Contact Us.

What Is This All About? Watch as Kyle Explains How To Get Started.

NC Planning Health Care Directives
Please complete the fields below to allow us to get started in preparing your Health Care Power of Attorney and HIPAA Authorization.
Please provide your full legal name (as it appears on your driver's license, etc).
Please provide your birthdate.
Please provide full name for the person who you would like to be appointed as your initial health care agent.
Please provide full name for the person who you would like to be appointed as your backup health care agent.
Please provide full name for the person who you would like to be appointed as your next alternate health care agent if the above cannot serve.
Feel free to choose which option you feel most comfortable with - (i) we can review with you on a phone call and send you signing instructions for you to sign and have witnessed elsewhere or (ii) feel free to choose our by appointment review and scheduling at our office.
Please provide how you discovered our health care directive program.

What is 7+4?

By clicking accept you understand that NC Planning is offering this as a limited pro-bono legal service and does not represent you as an estate planning client unless separately engaged. Our service will be limited specifically to the drafting these health care planning documents which are intended for NC residents only.
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