FMLA Certification of Health Care Provider For Family Member's Serious Health Condition
About this template
A template form for requesting certification of a family member's serious health condition under the Family and Medical Leave Act (FMLA) when an employee needs to take FMLA leave to care for a relative with a serious health condition.
This document is likely to be relevant to all sectors: Agriculture, Forestry and Fishing; Mining; Construction; Manufacturing; Transport; Energy; Wholesale; Retail; Finance; Insurance; Real Estate; Legal Services; Consumer, Public & Health Services; Education; Media; Consultancy; Technology; Public Administration; Sport & Entertainment; Other
This template enables a Maryland resident to appoint a health care agent to make health care decisions and access their protected health information. It also allows the individual to provide instructions for specific health care treatments they would like to receive in the event of an end-of-life medical condition, including directives concerning the use of life-sustaining treatments or end-of-life care.
This online document template allows a Virginia resident (the declarant) to appoint an agent to make health care decisions on their behalf and access their protected health information in the event of incapacity. It also provides instructions for health care, including in the case of a terminal illness, and the option to donate anatomical gifts.
This template provides an advance directive for health care for a competent adult residing in Alabama. It includes a living will and/or health care proxy, as well as instructions regarding particular health care treatments, such as life sustaining treatments or end-of-life care. Additionally, it contains notes and drafting tips to help the individual protect their right to refuse or request medical treatment if they become incapacitated.