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Chapter 765 — Advance Directives & Anatomical Gifts

Florida Statute 765.401

“The proxy”

What it means

If an incapacitated or developmentally disabled patient has not executed an advance directive or designated a surrogate, or the designated or alternate surrogate is no longer available, a proxy may make health care decisions. The proxy is the first reasonably available, willing, and competent person in this order: (a) the judicially appointed guardian or guardian advocate authorized to consent to medical treatment, if previously appointed; (b) the spouse; (c) an adult child, or, if there is more than one, a majority of the adult children reasonably available for consultation; (d) a parent; (e) an adult sibling, or, if there is more than one, a majority of those reasonably available; (f) an adult relative who has shown special care and concern, kept regular contact, and is familiar with the patient's activities, health, and religious or moral beliefs; (g) a close friend; (h) a clinical social worker licensed under chapter 491, or a graduate of a court-approved guardianship program, selected by the provider's bioethics committee and not employed by the provider.

A proxy's decision must rest on informed consent and on what the proxy reasonably believes the patient would have decided. Only if there is no indication may the proxy consider the patient's best interest. The proxy must first comply with ss. 765.205 and 765.305. A decision to withhold or withdraw life-prolonging procedures must be supported by clear and convincing evidence of what the patient would have chosen or, if there is no indication, that it is in the patient's best interest.

— What it says
  • Order of priority: guardian, spouse, adult child, parent, adult sibling, involved relative, close friend, licensed clinical social worker (§ 765.401(1)(a)-(h)).
  • A person in a lower class acts only if no one in a prior class is reasonably available, willing, or competent to act (§ 765.401(1)).
  • Adult children, and adult siblings, act by a majority of those reasonably available for consultation if there is more than one (§ 765.401(1)(c), (e)).
  • The relative class requires special care and concern, regular contact, and familiarity with the patient's activities, health, and religious or moral beliefs (§ 765.401(1)(f)).
  • Decisions follow what the proxy reasonably believes the patient would have chosen; best interest applies only if there is no indication (§ 765.401(2)).
  • Withholding or withdrawing life-prolonging procedures requires clear and convincing evidence (§ 765.401(3)).

Text of the statute (2026)

§ 765.401(1)(a)-(g)
(1) If an incapacitated or developmentally disabled patient has not executed an advance directive, or designated a surrogate to execute an advance directive, or the designated or alternate surrogate is no longer available to make health care decisions, health care decisions may be made for the patient by any of the following individuals, in the following order of priority, if no individual in a prior class is reasonably available, willing, or competent to act: (a) The judicially appointed guardian of the patient or the guardian advocate of the person having a developmental disability as defined in s. 393.063, who has been authorized to consent to medical treatment, if such guardian has previously been appointed; however, this paragraph shall not be construed to require such appointment before a treatment decision can be made under this subsection; (b) The patient’s spouse; (c) An adult child of the patient, or if the patient has more than one adult child, a majority of the adult children who are reasonably available for consultation; (d) A parent of the patient; (e) The adult sibling of the patient or, if the patient has more than one sibling, a majority of the adult siblings who are reasonably available for consultation; (f) An adult relative of the patient who has exhibited special care and concern for the patient and who has maintained regular contact with the patient and who is familiar with the patient’s activities, health, and religious or moral beliefs; or (g) A close friend of the patient.
§ 765.401(1)(h)
(h) A clinical social worker licensed pursuant to chapter 491, or who is a graduate of a court-approved guardianship program. Such a proxy must be selected by the provider’s bioethics committee and must not be employed by the provider. If the provider does not have a bioethics committee, then such a proxy may be chosen through an arrangement with the bioethics committee of another provider. The proxy will be notified that, upon request, the provider shall make available a second physician, not involved in the patient’s care to assist the proxy in evaluating treatment. Decisions to withhold or withdraw life-prolonging procedures will be reviewed by the facility’s bioethics committee. Documentation of efforts to locate proxies from prior classes must be recorded in the patient record.
§ 765.401(2)
(2) Any health care decision made under this part must be based on the proxy’s informed consent and on the decision the proxy reasonably believes the patient would have made under the circumstances. If there is no indication of what the patient would have chosen, the proxy may consider the patient’s best interest in deciding that proposed treatments are to be withheld or that treatments currently in effect are to be withdrawn.
§ 765.401(3)
(3) Before exercising the incapacitated patient’s rights to select or decline health care, the proxy must comply with the provisions of ss. 765.205 and 765.305, except that a proxy’s decision to withhold or withdraw life-prolonging procedures must be supported by clear and convincing evidence that the decision would have been the one the patient would have chosen had the patient been competent or, if there is no indication of what the patient would have chosen, that the decision is in the patient’s best interest.

Excerpts are the subsections the summary relies on. Read the full official text of § 765.401.

History. s. 5, ch. 92-199; s. 12, ch. 94-183; s. 32, ch. 99-331; s. 15, ch. 2000-295; s. 7, ch. 2001-250; s. 136, ch. 2001-277; s. 13, ch. 2002-195; s. 5, ch. 2003-57.

— In a Florida probate

How it applies

This section applies when a patient lacks capacity and no advance directive or available surrogate exists. Each class acts only if no one in a prior class is reasonably available, willing, or competent, so a spouse ranks ahead of adult children.

Subsection (1)(h) requires that efforts to locate proxies from prior classes be documented in the patient record. A written surrogate designation under s. 765.202 names a surrogate, and an alternate if the designation is explicit, so the list in this section applies only when no designated or alternate surrogate is available.

Questions people ask

Who makes medical decisions in Florida if there is no health care surrogate?
Under § 765.401(1), a proxy decides, in this order: a court-appointed guardian, the spouse, an adult child or a majority of adult children, a parent, an adult sibling or a majority of siblings, an involved adult relative, a close friend, then a licensed clinical social worker.
What evidence does a Florida proxy need to end life-prolonging treatment?
Section 765.401(3) requires that a proxy's decision to withhold or withdraw life-prolonging procedures be supported by clear and convincing evidence that it is the decision the patient would have made if competent or, if there is no indication of the patient's choice, that it is in the patient's best interest.

Sources

Last checked: October 17, 2026

The official text
This page is a plain-English summary, verified against the 2026 Florida Statutes — it is not the statute, and it isn't legal advice for your situation.
Read § 765.401

Published by the Probate.Help editorial team.How these pages are written and checked.

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