This form is a revocation of Form ME-P021, an Advance Health-Care Directive, that allows you to grant a power of attorney for health care decisions, make specific instructions for your healthcare, make anatomical gifts and designate a primary physician. An individual with capacity may revoke the designation of an agent
only by a signed writing or by personally informing the supervising health-care
provider. An individual with capacity may revoke all or part of an advance
health-care directive, other than the designation of an agent, at any time
and in any manner that communicates an intent to revoke.