Durable Power Of Attorney for Health Care Form

What Is a Durable Power of Attorney for Health Care?

The Durable Power of Attorney for Health Care definition is directly determined by the specific use of this legal document. The form authorizes a person (designated as an agent) to act as a representative of another individual, making healthcare decisions for them. Durable Power of Attorney for Health Care Form is indispensable in case a person cannot make or communicate decisions by themselves.

What do I need form for durable power of attorney for health care for?

• To choose someone to make health-related decisions on your behalf in case you can’t manage to do it by yourself;
• To designate an agent who will have a right to make decisions for your healthcare;
• This document is helpful in case a person becomes incapacitated or if there is uncertainty that they are dead.

How to Fill Out the Durable Power of Attorney Form for Health Care

1. To be redirected to the page with a fillable template of this form, you have to press the Fill this form button located on the left of the document.
2. You will see a document that consists of 6 pages. Not all of them are fillable, though. The first page is a warning for people executing this document.
3. Using the Add Text tool on the upper toolbar, type your name and the name of a designated agent on page 2. Put their address and contact number too.
4. In line 5, indicate the duration of this document.
5. Specify your statements and desires in line 6.
6. You can also choose an alternative agent in line 7.
7. On page 5, date and sign this document. For this, use the relevant tools on the upper toolbar.
8. The 6th page is for a notary. They have to provide their name and contacts and sign the form. You can share this document with a notary by pressing the Share button on the upper dashboard or save it on your PC and print it out for further use.

Organizations that work with durable power of attorney for health care

• Healthcare institutions over the territory of the US