Hawaii Health Care Advance Directive/Medical Durable Power of Attorney Form: Free Blank Template Downloads

A Hawaii health care advance directive medical power of attorney form allows an individual to give authority to someone else to act on their behalf. With this legal document, your agent can have another person that will act on your behalf when you cannot due to not being present, become ill, or are legally incompetent or incapacitated.

Last updated July 24th, 2024

A Hawaii health care advance directive medical power of attorney form allows an individual to give authority to someone else to act on their behalf. With this legal document, your agent can have another person that will act on your behalf when you cannot due to not being present, become ill, or are legally incompetent or incapacitated.

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A Hawaii Medical Power of Attorney is a document that authorizes an individual to handle your legal and medical matters. The person granting this authority is the “Principal,” and the individual or organization receiving it is called the “Agent.” This Power of Attorney is designed explicitly for Hawaii residents and can be used in all areas of the state including Maui County, Honolulu County, Hawaii County. This document can edited and tailored to your situation.

State Definition: Haw. Rev. Stat. § 327E-2

Standard Durable Power of Attorney Forms

Hawaii Advance Healthcare Directive: Checklist

Page two of the ‘Under Hawai’i Law’ document. 

Revocation

You can notify your physician of your decision to modify or cancel your medical power of attorney, thereby revoking your agent’s authority to decide on your behalf.

Source: §327E-4

What happens if you do not have an Advance Directive Medical Power of Attorney in Hawaii?

If you don’t have an Advance Directive in Hawaii and cannot communicate your wishes, the healthcare provider must inform “interested persons.” These individuals are responsible for making efforts to reach an agreement about your medical treatment. The proxy decision-maker should be someone close to you and likely to know about your preferences for medical decisions. Interested persons may include a spouse, parent, adult child, sibling, grandchild, or close friend.

Source: HI §327E-4

Optional Form

ADVANCE HEALTH-CARE DIRECTIVE: §327E-16 Optional form

Hawaii Advance Health Care Directive: Preview Example

Sample

HAWAII ADVANCE DIRECTIVE MEDICAL DURABLE POWER OF ATTORNEY FORM

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