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Health Care Power of Attorney Form

A health care power of attorney form is needed when a patient is unable to give his/her decision on the medical procedure that will be performed on him/her. The form gives the right to another person to handle all the medical matters on behalf of the patient. The agent who takes the decision should be trustworthy enough to handle the health care power of attorney.

The template of the form should contain information regarding the limitation of the responsibility and the areas in which one is free to take the decision. The other criteria of the medical power of attorney forms are it states the additional power of the agent, if it has any and the terms and conditions of the agreement. The durable power of attorney is also there that comes with some limitation to access the power. Below a sample of the form is provided.

You can download the form in both PDF and Word file. Make necessary changes if needed.

Health Care Power of Attorney Form

Health Care Power of Attorney FormDownload Easy to Edit Health Care Power of Attorney Form at only $3.00

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