Medical Power Of Attorney Form Washington State

The representative may not choose any end of life decisions unless the principal specifically writes in that he or she would like that as an option.
Medical power of attorney form washington state. Durable power of attorney for health care. Two 2 or more witnesses or a notary acknowledgment. Medical power of attorney allows a person to handle someone else s health care decisions only in the chance that he or she may not be able to think for themselves. Washington power of attorney forms make it possible for a principal to select an agent a k a.
I revoke any other power of attorney for health care documents i have signed in the past. A durable power of attorney for health care is a legal document that lets you identify another person to make health care decisions for you if you become unable to communicate what you want. Attorney in fact to carry out tasks and make decisions on their behalf. Changes to the washington state durable power of attorney for health care form in 2017.
Senate bill 5635 passed by the legislature in 2016 requires all. To give legal authority to doctors to carry out a preferred care plan in the event of your incapacitation you need to establish a medical power of attorney. Physicians and others who provide direct patient care should take note of new requirements taking effect jan. Durable power of attorney for health care page 1 of 2 seattle university school of law clinical program northwest justice project durable power of attorney for health care for my name 1.
Medical power of attorney. Washington medical power of attorney download options. If my spouse or domestic partner is my agent this power of attorney document will end if either of us files for divorce in court. The washington medical power of attorney form is used to establish the life extending health care procedures in addition to allowing someone to select an agent to make decisions on their behalf the person creating the form the principal will need to choose an agent to manage all decisions made when the principal is incapacitated.
Microsoft word docx download. Durable health care power of attorney also known as an advance directive this type of poa is for appointing a loved one to make health care decisions on your behalf if you are unable to communicate your wishes to your health care providers. The powers granted may be for financial health care tax filing or parental guardianship reasons. 1 that affect the washington state durable power of attorney for health care form.
Please consult with your legal advisor in order to make sure that your documents meet state laws. Washington power of attorney for. Adobe pdf signing requirement 11 125 050. This power of attorney document will end if i revoke it or when i die.
I choose as my agent with full authority to manage my health care.