this is the partner single page templatex
We recommend that you name your agent electronically so this information is available to doctors across Maryland. If you keep the document at home it may not be retrievable in an emergency and your doctors may not know who to contact to discuss your care. If you do decide to print your form, you should store it by your bedside, behind your bedroom door or on your refrigerator so emergency personnel can find it easily. You can find a printable copy of the health care agent form on our Name Your Agent page.