hide my visit

Medical Power of Attorney - No Witnesses, Signed by Notary Public

Click below to download: 

About This Form

This form provides a Medical Power of Attorney and related information for those situations where there might not be witnesses and it will instead be verified by a Notary Public. 

What is a Medical Power of Attorney?

A Medical Power of Attorney is a document signed by a competent adult giving an agent, a trusted person, the authority to make health care and medical decisions when the principal (the person signing the Medical Power of Attorney) is no longer able to make them and a doctor so certifies.  

Is a Medical Power of Attorney different from a durable power of attorney?

A Medical Power of Attorney is one kind of durable power of attorney.  A Medical Power of Attorney gives your agent the right to make health care decisions for you. A general durable power of attorney usually does not give the person the right to make decisions about health care. A general durable power of attorney usually serves a different purpose.

For more detailed information on what a Medical Power of Attorney is and what it does, please click the link below.

Click Here

 

Make sure to read the Information Concerning The Medical Power of Attorney document in front of the form at the link, BEFORE filling out the form. 

 

You can also click below for an interactive guided Medical Power of Attorney Form.

Click here for the guided form

HB-PLH-200
This relates to the following area(s) |