Medical Power Of Attorney Designation Of Health Care Agent

Medical power of attorney form designation of health care agent i insert your.

Medical power of attorney designation of health care agent.

Name address phone as my agent to make any and all health care decisions for me except to the extent i state otherwise in this document. Limitations on the decision making authority of my agent are. You should use this document to name a person as your health care agent if you are comfortable giving that person broad andsweeping powers to make health care decisions for you. Designation of health care agent.

Designation of alternate agent you are not required to designate an alternate agent but you may do so. The exact decision making responsibilities depend on what the patient instructs in the document. This medical power of attorney takes effect if i become unable to. I name of principal appoint name address and telephone number of agent as my agent to make any and all health care decisions for me except to the extent i state otherwise in this document.

An alternate agent may make the same health care decisions as the designated agent. In your state this person may also be called a health care proxy surrogate or attorney in fact most people name their spouse partner a relative or a close friend as their health care agent. 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. The general poa is an entirely separate document and the courts do not automatically assume that if you designate a medical poa that this person should have any.

Medical power of attorney is a designation that is given to a person that enables them to handle health care related decisions on a patient s behalf. I insert your name appoint. You must execute a new medical power of attorney. The medical power of attorney is appointed by you in a legal document to make medical decisions for you 1 which indicates what course to take in specific medical circumstances.

If you designate an alternate agent the alternate agent has the same authority as the agent to make health care decisions for you. Medical power of attorney designation of health care agent. Medical power of attorney designation of health care agent.