Medical Power Of Attorney Designation Of Health Care Agent

Designation of alternate agent you are not required to designate an alternate agent but you may do so.

Medical power of attorney designation of health care agent.

I insert your name appoint. The exact decision making responsibilities depend on what the patient instructs in the document. Designation of health care agent. 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.

Limitations on the decision making authority of my agent are. 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 form designation of health care agent i insert your.

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. 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. An alternate agent may make the same health care decisions as the designated agent.

This medical power of attorney takes effect if i become unable to. When you make a durable power of attorney for health care the most important decision you will face is deciding who your health care agent should be. Medical power of attorney designation of health care agent. You may wish to designate an alternate agent in the event that your agent is unwilling unable or ineligible to act as your agent.

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. 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. You must execute a new medical power of attorney.