A health care power of attorney form is a type of legal form or document which is to be used by an individual to legally authorize or assign someone to act on his behalf. The assigned person will then be identified as the attorney-in-fact or the designated agent and he will be permitted to conduct medical and healthcare-related decision for the grantor of the power. Moreover, the signed health care power of attorney form should also be notarized and be sealed by a notary public for it to be considered valid, verified, and legal.

Types of Health Care Power of Attorney Forms

Basic Health Care Power of Attorney Form – Before giving power to an individual, the grantor should know what type of authorization he will be giving, either broad or specific. If the intent is to grant a broad power, then a basic health care power of attorney should be used by the grantor. This document will allow the attorney-in-fact to make broad decisions in lieu of the medical and health care needs of the grantor either during the period he is capable or in which he is incapable of making his own decisions. Furthermore, in the form, the name of the designated health care agent or attorney-in-fact will be stated along with the details of the effectiveness of the appointment, the revocation of the power, the grantor’s statement of authority, and the provisions and limitations mandated by the grantor to his agent.

Basic Health Care Power of Attorney Form

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Durable Health Care Power of Attorney Form – If a grantor wants to be specific in the power that he will grant to his chosen agent or attorney-in-fact, then the specifications should be stated in the form including his preference to the agent’s power if he becomes incapacitated. For this, a durable health care power of attorney form is the type to create. With the durable power of attorney for health care matters, the grantor is giving the agent the authority to make decisions even during the period when he is incapacitated or incapable, mentally and physically. When assigning a grantor for this purpose, it is significant that the agent is knowledgeable about the welfare of the grantor and cares for the grantor as well to avoid a case of an abused power or authority over the grantor.

Durable Healthcare Power of Attorney Form

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How to Use Fillable Health Care Power of Attorney Form Template

A fillable health care power of attorney form is an automated form type which allows the users of the form to simply enter the required data and information into the allotted entry fields of the form. Compared to other formats, an automated and fillable form will be easier to complete since there is no need to re-convert the form into a format in order to answer the form. There are also some fillable form templates which allow immediate printing and submission by clicking on the incorporated boxes or buttons. Nevertheless, the steps below must be followed to use our fillable health care power of attorney form effectively:

Step 1: Download the form template.

Click on the download button beside the image of the template in our site to start downloading the form which will be in a compressed file. To use the file, zip or file extraction should be executed, then the form template should be saved into the preferred device location.

Step 2: Open the extracted and saved template.

The template will be in “.PDF” or portable document file format when it is opened. One benefit of having this format is that it is compatible to most devices and accompanying its compatibility is its ability to retain the layout of the document regardless of where it is accessed unless it is edited using a PDF editor and maker.

Step 3: Fill in the required information.

The date when the health care power of attorney form will be used is one of the data to be inputted into the form along with the name, address, and date of birth of the grantor, and the name, address, and contact information of the designated attorney-in-fact. Furthermore, the list of the grantor’s preferences will also be specified in the form as well as his statements of limitations, and the signatures of the involved witnesses and parties.

Lastly, the filled out form template should be sent after completion to the other involved parties, and must be printed for physical reference and to allow the notary public seal and sign the form.

Fillable Health Care Power of Attorney Form

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Durable Healthcare Power of Attorney Statutory Form

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Health Care Power of Attorney Form FAQs

What should a grantor include in a health care power of attorney form for his agent?

There are several matters or subjects which should be defined in a health care power of attorney form, and one of the most important is the grantor’s list of priorities and preferences such as the avoidance of pain and suffering when undergoing emergency medical procedures. In addition, the grantor should also state whether he prefers to be admitted in a hospital or at home, as well as the types of spiritual actions to be taken by the agent and medical science contributions in the event of his death.

Who should be appointed as a designated agent to hold the health care power of attorney?

A designated agent should be able to meet the legal requirements of the State’s law. This includes meeting the age requirement wherein the agent should be above 18 years old as well as trusted by the grantor and is responsible for executing the grantor’s wishes regardless of the possible ill outcome.

Health Care Power of Attorney Form Sample

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Health Care Power of Attorney Statutory Form

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How to Get a Health Care Power of Attorney Form

There are two ways in getting a health care power of attorney form. The first method is by going to a licensed attorney or to the State agency who regulates legal healthcare-related matters. All a grantor needs to do is to request for the services of the attorney or simply ask for a legal and fillable health care power of attorney form. On the other hand, a health care power of attorney form can also be obtained online or in our site wherein a grantor can choose from a range of varieties til he finds the form that meets his needs and preferences.

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