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I guess if the patient has early AD and can still decide for himself/herself, then the patient should be able to sign. But when he/she has moderate or severe AD, someone like the family needs to sign it. The patient needs to appoint someone as his/her Power of attorney so the person can sign for the patient. I think if there is no POA, the relative can still sign the thing given a doctor's explanation that the patient had AD and cannot decide. But the POA is the best way to handle it. My husband is the POA for his Dad who has moderate/severe Alzheimer's. Nina
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