Health Care Power Of Attorney Form

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.

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. 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. 1337 full name birth date this is my health care power of attorney. I revoke all prior health care powers of attorney signed by me.

This power includes the power to make decisions about life sustaining treatment. Unless you state otherwise your agent will have the same authority to make decisions about your health care as you. 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. I understand the nature and purpose of this document.

If any provision is found to be. 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. Ohio health care power of attorney page one of twelve state of ohio health care power of attorney r c.