Medical Power Of Attorney Form Pa

This paperwork has been developed so the principal who issues it can name his or her health care agent and document his or her preferences.

Medical power of attorney form pa.

A pennsylvania durable power of attorney is a long term arrangement between two individuals. Medical power of attorney pennsylvania form adobe pdf the pennsylvania medical power of attorney enables an individual to establish instructions regarding end of life treatments and medications and to appoint an attorney in fact to make medical decisions on their behalf. Medical power of attorney is a designation that is given to a person that enables them to handle health care related decisions on a patient s behalf. The durable health care power of attorney appoints a specific person a health care agent who will have the power to make health care decisions for you.

These forms can be executed and revoked only when the principal is of a sound mind and competent enough to make such decisions. Signing requirements 5452 and 5471. A medical poa is different from a normal poa which is more general or a financial poa which is similar but for your money. Pennsylvania health care power of attorney form is part ii of the official advance directive provided by the commonwealth.

Instructions for page 1 a durable health care power of attorney and living will form is attached for your use. Health care power of attorney using this form a person can appoint another to work with their health care providers to make medical decisions on their behalf in the event they are unable to do so. The principal individual implementing the form and an attorney in fact appointed representative. You may make a healthcare poa if you are at least 18 years of age or if under 18 you have graduated from high school are married or are legally emancipated.

This form allows you to do two things. A medical power of attorney medical poa or health poa is a legal document you use to name an agent and give them the authority to make tough medical decisions for you. 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. What is medical power of attorney.

Pennsylvania power of attorney forms are legal documents used to appoint an attorney in fact to represent a person in certain financial medical and other important life affairs. Pennsylvania authorizes the creation of a healthcare power of attorney but does not provide a suggested form. 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.