This medical power of attorney takes effect if I become unable to make my own health care decisions and this fact is certified in writing by my physician.

Оценка 4,8 (2 318) A medical power of attorney (MPOA) is an official document that designates an agent or attorney-in-fact to make healthcare decisions on the principal's behalf. Colorado · Texas · Tennessee · Alabama Advance Directive

The written form is often called an “advance directive”. You may use this form or another form, as long as it meets the legal requirements of Illinois.

I. , of. County,. Pennsylvania, appoint the person named below to be my health care agent to make health and personal care decisions for me.

The representative appointed by this document is specifically authorized to be granted access to my medical records and other health information and to act ...

By signing this document, you are giving authority to the person you are designating as your agent to make medical decisions on your behalf.

GENERAL INSTRUCTIONS: Use this form if you want to select a person, called an “agent”, to make future health care decisions for you so that if you become ...

This form may be used to create a health care power of attorney, and meets the requirements of North Carolina law. However, you are not required to use this ...

This document is a Medical Durable Power of Attorney and the power of my agent shall begin when I lack capacity to make health care decisions for myself ...

A Health Care Power of Attorney is NOT a financial power of attorney. The Health Care Power of Attorney document also can be used to nominate person(s) to act ...