1. Personal representatives

The Personal representative is the person who would manage your affairs in the event of your death or incapacitation.  Most people choose a spouse, close relative or close friend.  This person would notify TheraClosure of the event so that we can immediately begin notifying your <clients/patients>, helping your <clients/patients> find referrals for ongoing care, and managing your practice.  The alternative personal representative would take on the same role in the event that the personal representative is not available. Please be sure that you have discussed these roles with your personal and alternate representatives and have confirmed that they accept the roles.  Note that, once the Professional Will is signed, TheraClosure will email your personal and alternative representatives to introduce ourselves and ensure they have our emergency contact information.

Who is the best choice to name as the personal representative?
*Salutation
*First Name
*Last Name
*Email of personal representative
*Phone number of personal representative
Mailing address of personal representative
It is important to name an alternate personal representative, in case your personal representative was not available or also incapacitated.
*Name of alternate personal representative
*Alternative representative email address
*Alternate representative phone number
Mailing address of alternate representative
Name of attorney
Email of attorney
Phone number of attorney
Mailing address of attorney
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