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Health Power Of Attorney Form
Free Download

A health power of attorney or a POA for health care decisions is an agent or a person who you have a close relationship with and can trust to make medical decisions on your behalf in the event you are unable to make decisions for yourself. A legal document which appoints a health care agent is sometimes known as a "health care power of attorney."

living will, health POA, health care power of attorney

With a health power of attorney, unlike a standard living will, an agent is able to make decisions on your behalf even if you are not terminally ill or in an irreversible coma, so long as you are not able to make these decisions on your own. This is most commonly seen with cases of dementia, alzheimer's, or other forms of impaired memory and/or decision-making capabilities. A health power of attorney also provides a back-up in case a hospital does not fully honor your living will.

In some cases, the provisions of a living will are combined with the health care power of attorney which allows you to combine a living will with the appointment of a health care agent. In addition, you can nominate an alternate health care agent in case your first choice is unable to serve.

Here is a non-state specific 4 page, Completely Free Health Power of Attorney with designation of health care agent


Compare a State Specific Health Power of Attorney to see any specific requirements your state may have.

Do you need to Revoke A Health Care Power of Attorney?

Note: A separate Power of Attorney should be created for each person.
A "joint" Power of Attorney is not valid

There're very economical legal software packages (for literally a few dollars) which we are also pleased to offer our readers throughout this website. These companies offer a thrifty compromise as opposed to either hiring a lawyer or filing a power of attorney form completely on your own.

Here's a perfect example provided by LegalZoom for a professional, inexpensive Legal Power Of Attorney. Create your Power of Attorney in minutes with our easy online interview. Save, share or print your legal document immediately with no waiting! Power of Attorney Template in 3 Easy Steps

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These free legal forms are meant to be samples regarding information that is generally necessary for power of attorney issues. The challenge with any legal forms is that most are state specific, so please be aware of that possibility. Click here for a State Specific Health Power of Attorney to see any specific requirements your state may have.

The offering of these free legal forms is not meant to be a substitue for legal adivce. Legal Disclaimer

If you do-it-yourself, be smart about it! To make sure your goals are not compromised, it's wise to have an attorney inspect any form you are intending to use to consider all the possible legal ramifications. Special Power of Attorney forms are important to "execute prudently the first time", since by their nature, there is often no one left to "make it right."

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