Health Care Power Of Attorney Form

A healthcare power of attorney hcpa is a legal document that empowers a specific individual to speak with others and make decisions on your behalf concerning your medical condition treatment.

Health care power of attorney 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. Ohio durable power of attorney for health care form allows a person to grant power to make health care decisions on behalf of the issuing principal when that principal is incapacitated and unable to do so pursuant to chapter 1337 17 of the ohio revised code this is good to have in place in the event you are in an accident and are unconscious or are planning to be in surgery. 1337 full name birth date this is my health care power of attorney. Unless you state otherwise your agent will have the same authority to make decisions about your health care as you.

Health care power of attorney means this document that allows me to name an adult person to act as my agent to make health care decisions for me if i become unable to do so. I revoke all prior health care powers of attorney signed by me. This document gives the person you name as your agent the power to make health care decisions for you if you cannot make the decision for yourself. 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.

A medical power of attorney form also known as an advance directive or health care proxy is a form that allows a person to elect someone else to handle health care decisions on their behalf only if they are not able to do so themselves. This power includes the power to make decisions about life sustaining treatment. I understand the nature and purpose of this document.