medical-power-of-attorney

Medical Power of Attorney

2 signers
1Principal
2Agent
USE THIS TEMPLATE - FREE

Medical Power of Attorney

A medical power of attorney (or healthcare power of attorney) is a legal document that lets you give someone legal authority to make important decisions about your medical care. These decisions could be about treatment options, medication, surgery, end-of-life care, and more. The person you name in your POA to make these decisions is called your healthcare agent or proxy.
Medical Power of Attorney

Why is a Medical Power of Attorney important?

Your healthcare agent is legally required to act in your best interests. How much authority they have over your medical care is up to you. You could write your POA in a way that allows your healthcare agent to make any decision about your medical care. Or, you can establish limitations and timeframes on your agent’s power.

Difference Between Medical power of attorney vs. financial power of attorney

A financial power of attorney lets you give someone legal authority to make financial decisions in the event you’re unable to. This can include managing finances, defending lawsuits, and paying bills. A medical power of attorney, on the other hand, only allows your agent to make decisions about your medical affairs.
commission agreement template

Decide your healthcare agent

Your agent will have a lot of authority, so you should choose someone you trust to have your best interests at heart. It’s a good idea to speak to this person beforehand and make sure they’re willing to be your agent.

commission agreement template

Get a medical power of attorney form

Most states provide blank POA forms for free, but it’s not always easy to customize them or include detailed preferences. You can also use free online software to create a living will, which includes a healthcare power of attorney.

commission agreement template

Witness & Notary

Complete the form, and sign and witness it according to the laws in your state. In most states, you’re required to get your POA form notarized. Some states also require additional witnesses, or the signature of your agent.

commission agreement template

Give it to your agent

Give a copy of your medical POA form to your agent and other interested parties, like your medical office. Your agent will need to provide the form as proof of their position before they’re allowed to make any healthcare decisions for you.

FAQ About Our Medical Power of Attorney Template

As long as you’re considered mentally capable of doing, You can revoke your medical power of attorney at any time. If you wish to revoke your POA, you can fill out a revocation of power of attorney form. You need to have it witnessed and notarized. This form will mention that you no longer want your chosen agent to act as your medical POA. At any point of time, you can create a new medical POA agreement and name a new healthcare agent, or change your current agent’s responsibilities.

You can write a POA in two forms: general or limited. A general power of attorney allows the agent to make a wide range of decisions. This is your best option if you want to maximize the person’s freedom to handle your assets and manage your care.

Durable Power of Attorney forms which identify a decision maker related to medical decision- making (as part of a Medical Advance Directive) are available to patients and their families in the hospital. To obtain a form, you may ask your nurse.

" Undoubtedly one of the best eSignature application available in the market right now. Would love to recommend Fill. "

Liam Washington
Capterra

Ready to get started
with this template?

Click the button below to add this template to your account. If you do not have an account, you can sign up for a free trial to start using this template.
Arrow-up