A medical power of attorney, or sometimes a ‘health care proxy’, is a form designated to allow an individual, known as the ‘principal’, to be able to choose someone else, known as the ‘agent’ or ‘attorney-in-fact’, to carry out health care decisions that are in line with their beliefs.

Any decisions being made by the agent may only be in effect when the principal is not in a state of mind to make them for themselves. Usually the form must be witnessed by at least two (2) people, none of which can be family, or a notary public depending upon the State’s law. Once complete the form should be distributed and given to any and all primary care physicians, family members, and close friends.

Forms by State