Health Care Power Of Attorney Form

A medical power of attorney form also known as an advance directive or health care proxy is a form that allows a person to elect someone else to handle health care decisions on their behalf only if they are not able to do so themselves.

Health care power of attorney form.

Health care power of attorney means this document that allows me to name an adult person to act as my agent to make health care decisions for me if i become unable to do so. Ohio health care power of attorney page one of twelve state of ohio health care power of attorney r c. I revoke all prior health care powers of attorney signed by me. Free printable medical health care power of attorney forms 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.

If any provision is found to be. A healthcare power of attorney hcpa is a legal document that empowers a specific individual to speak with others and make decisions on your behalf concerning your medical condition treatment. 1337 full name birth date this is my health care power of attorney. This power includes the power to make decisions about life sustaining treatment.

This document gives the person you name as your agent the power to make health care decisions for you if you cannot make the decision for yourself. Unless you state otherwise your agent will have the same authority to make decisions about your health care as you. 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.