A Delaware Advance Health Care Directive Form allows individuals to specify their end-of-life wishes, such as choices regarding resuscitation and artificial nutrition. If the individual creating the directive cannot do so, they must appoint an agent to make medical decisions on their behalf.
Standard Durable Power of Attorney Forms
https://simpleforms.com/wp-content/uploads/2024/07/DELAWARE-ADVANCE-DIRECTIVE-MEDICAL-DURABLE-POWER-OF-ATTORNEY-FORM.pdf
A Georgia Medical POA Advance Health Care Directive Form is a legal document gives the chosen person the authority to act on behalf of the individual for various legal issues, such as managing money or being a guardian for a minor. The chosen person must always put the individual’s best interests first and should show the completed and signed form when acting on behalf of the individual.
Standard Durable Power of Attorney Forms
The document must be signed in front of two (2) witnesses that are 18 years old or older and have a ‘sound mind’.
Source: § 31-32-5(c)(1)(2)
https://simpleforms.com/wp-content/uploads/2024/07/GEORGIA-ADVANCE-DIRECTIVE-MEDICAL-DURABLE-POWER-OF-ATTORNEY-FORM.pdf
This Idaho Advance Healthcare Directive Form is a legal document ensures that a person’s wishes are respected when they cannot communicate their preferences due to illness or incapacity.
Standard Durable Power of Attorney Forms
Idaho Health Care Directive Registry Form
Advance Directive Planning Worksheet
https://simpleforms.com/wp-content/uploads/2024/07/IDAHO-ADVANCE-DIRECTIVE-MEDICAL-DURABLE-POWER-OF-ATTORNEY-FORM.pdf
A Connecticut Advance Health Care Directive Form allows individuals to appoint a healthcare agent and specify their end-of-life preferences for situations where they cannot communicate.
Standard Durable Power of Attorney Forms
https://simpleforms.com/wp-content/uploads/2024/07/CONNECTICUT-ADVANCE-DIRECTIVE-MEDICAL-DURABLE-POWER-OF-ATTORNEY-FORM.pdf
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
The document must be signed in front of two (2) witnesses or a notary public.
Source: § 327E-3(c)(d)
Page two of the ‘Under Hawai’i Law’ document.
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
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
ADVANCE HEALTH-CARE DIRECTIVE: §327E-16 Optional form
https://simpleforms.com/wp-content/uploads/2024/07/HAWAII-ADVANCE-DIRECTIVE-MEDICAL-DURABLE-POWER-OF-ATTORNEY-FORM.pdf
This Illinois Advance Healthcare Directive Form is meant to make sure that your medical care wishes are known and respected. It can also help ease the burden on your loved ones when tough decisions need to be made during difficult times. It’s a good idea to talk about your wishes with your family, healthcare providers, and legal advisors when you fill out these forms.
Standard Durable Power of Attorney Forms
The document must be signed by the Principal in front of two witnesses that are at least 18 years old or older.
Source: 755 ILCS 35/3(b)
https://simpleforms.com/wp-content/uploads/2024/07/ILLINOIS-ADVANCE-DIRECTIVE-MEDICAL-DURABLE-POWER-OF-ATTORNEY-FORM.pdf
The Florida Medical Power of Attorney / Designation of Health Care Surrogate form lets an individual (the principal) to designate another person (the surrogate) to make decisions in the event of their incapacity.
Standard Durable Power of Attorney Forms
The MPOA advance directive final document must be signed in front of two (2) witnesses.
Source: § 765.202
Statute: Florida Statutes – Chapter 709, Health Care Advance Directives – Chapter 765
Once you have been assigned a medical power of attorney, it will remain in effect until you decide to revoke it. If you can make decisions, you have the authority to change or withdraw your medical power of attorney at any time. If your spouse is currently serving as your healthcare surrogate, their powers will be automatically revoked in the event of a divorce.
Source: § 765.104
An Indiana Health Care Representative Agreement (Healthcare Proxy) is a legal document used to appoint an agent to make medical care decisions on behalf of an individual if they are unconscious, incapacitated, or mentally incompetent.
Standard Durable Power of Attorney Forms
The document must be signed by the Principal in front of a witness or a notary public.
Source: § 16-36-7-28
Indiana State Laws – Health Care Advance Directives, Article 36, Chapter 7
“”Power of attorney” means a writing or other record that grants authority to an attorney in fact or agent to act in place of a principal, whether the term “power of attorney” is used. The term refers to all types of powers of attorney, including durable powers of attorney, except for the following:
(1) A power to the extent it is coupled with an interest in the subject of the power, including a power given to or for the benefit of a credit in connection with a credit transaction.
(2) A proxy or other delegation to exercise voting rights or management rights with respect to an entity.
(3) A power created on a form prescribed by a government or governmental subdivision, agency, or instrumentality for a governmental purpose.”
Source: § 30-5-2-7
“”Health care” means any medical care, treatment, service, or procedure to maintain, diagnose, treat, or provide for the principal’s physical or mental well-being. The term includes the providing of nutrition and hydration through intravenous, endotracheal, or nasogastric tubes.”
Source: Ind. Code § 30-5-2-4
https://simpleforms.com/wp-content/uploads/2024/07/INDIANA-ADVANCE-DIRECTIVE-MEDICAL-DURABLE-POWER-OF-ATTORNEY-FORM.pdf
A Colorado Advance Health Care Directive Form is a legally binding document that gives a person the option to have another individual chose which medical treatment they will receive and how their finances will be handled in the event they become unable to do so themselves.
Standard Durable Power of Attorney Forms
The document must be signed in front of two (2) witnesses or a public notary.
Source: 15-18-105(1)
A medical power of attorney form enables an individual (known as the principal) to designate an agent who will be responsible for making healthcare decisions on their behalf. The agent’s authority becomes effective only when the principal becomes incapacitated and is unable to make decisions on their own. This incapacity must be confirmed in writing by the attending physician.
Standard Power of Attorney Forms
A healthcare agent, also known as a surrogate or proxy, is an individual you select to make medical decisions in case you cannot do so in the future. This person should be a close relative or trusted friend who knows you well and whom you trust to speak on your behalf. In most states, your healthcare agent can make decisions for you anytime you cannot make medical decisions, not just at the end of life.
When choosing a healthcare Agent, have open discussions with the potential candidates to be the Agent by discussing your values, quality of life concerns, anticipated medical issues, and possible treatments. Since unexpected situations can arise, your Agent should be able to make decisions based on their understanding of your values and what you consider a meaningful life. These discussions are complex, and your perspectives may change.
Your healthcare agent should:
We provide free medical power of attorney form templates. Download our PDF form above.
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A Medical or Healthcare Power of Attorney is a legal document that grants an individual, usually the healthcare agent or proxy, the authority to make medical decisions on behalf of the principal if they are unable to do so themselves due to incapacitation.
The process to become a Medical Power of Attorney includes:
To ensure the Durable POA covers Medical, create a document called a durable power of attorney for finances and healthcare. This document combines financial and medical decision-making powers and allows them to appoint a trusted person to make decisions on their behalf in case of incapacity.
The Medical Durable Power of Attorney (MDPOA) is a legal document that gives an individual, referred to as the “principal,” to appoint another person, known as the “agent” or “attorney-in-fact,” to make healthcare decisions on their behalf if they become incapable of doing so themselves.
A Health Care Power of Attorney (HCPOA) is a legal contract that lets someone choose another person to make their healthcare decisions if they can’t. It’s part of advance care planning.
The responsibilities include: