1. Personal representatives

The personal representative is the person who would manage your affairs in the event of your death or incapacitation.ย  Most people choose a spouse, close relative or close friend.ย  This person would notify TheraClosure of the event so that we can immediately begin notifying your <clients/patients>, helping your <clients/patients> find alternative care, and managing your practice.ย  Please be sure that you have discussed this role with your personal representative and have confirmed that this person accepts the role.ย  Note that TheraClosure will email your personal representative, alternative representative and attorney (if listed) once the Professional Will is signed.ย  The email will provide instructions for notification.

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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