Your Medical Power of Attorney empowers your Agent
or Attorney-In-Fact to make health-care or personal care decisions on your behalf.
The free legal form supplied here is a conventional durable medical power of attorney. However, it can be written to expire on a certain date. For example: you may be going on an adventure with a fellow traveler and want that person to act as your Agent for the duration of the trip, should it become necessary.
NOTE: It may also be called a Health Care Proxy or Power of Attorney for Personal Matters / Care.
Whatever the document or Agent is called in your state or country, the following requirements for your medical or health care power of attorney are universal:
The authority granted to your Agent to make Personal Care decisions for you relates to issues such as where you will live or which foods you do not wish to eat. You can be as specific as you wish in your instructions e.g. you wish to live in your own home for as long as possible etc.
You can give detailed instructions on the free medical power of attorney form as to which treatment you do or do not want or you can complete the separate free living will form and make reference to it in your power of attorney as an attachment.
For links to other sample POA documents as well as additional legal information, please visit our Main Power of Attorney Page.