Medical Power Of Attorney Form Pa
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These forms can be executed and revoked only when the principal is of a sound mind and competent enough to make such decisions.
Medical power of attorney form pa. A pennsylvania durable power of attorney is a long term arrangement between two individuals. 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. Signing requirements 5452 and 5471. Pennsylvania authorizes the creation of a healthcare power of attorney but does not provide a suggested form.
In this document you should give directions to the person you select as your spokesperson or health care agent or proxy about the full range of care you want. Pennsylvania health care power of attorney form is part ii of the official advance directive provided by the commonwealth. A medical poa is different from a normal poa which is more general or a financial poa which is similar but for your money. What is medical power of attorney.
A medical power of attorney medical poa or health poa is a legal document you use to name an agent and give them the authority to make tough medical decisions for you. Two 2 witnesses notarization is recommended. In a health care power of attorney or health care proxy you select the family member or trusted friend you want to make health care decisions for you when you cannot. This type of power of attorney form is used to transfer financial authority from the principal to the attorney in fact.
Health care power of attorney using this form a person can appoint another to work with their health care providers to make medical decisions on their behalf in the event they are unable to do so. The principal individual implementing the form and an attorney in fact appointed representative. The durable health care power of attorney appoints a specific person a health care agent who will have the power to make health care decisions for you. Medical power of attorney pennsylvania form adobe pdf the pennsylvania medical power of attorney enables an individual to establish instructions regarding end of life treatments and medications and to appoint an attorney in fact to make medical decisions on their behalf.
You may make a healthcare poa if you are at least 18 years of age or if under 18 you have graduated from high school are married or are legally emancipated. Instructions for page 1 a durable health care power of attorney and living will form is attached for your use. This paperwork has been developed so the principal who issues it can name his or her health care agent and document his or her preferences.
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