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HEALTH CARE POWER OF ATTORNEY & LIVING WILL Combine Form General Instructions: Use this Health Care Power of Attorney and Living Will Combined Form if you want to select a person to make future health

How to fill out health care power of

How to fill out a health care power of attorney:

1. Begin by gathering all necessary information and documents, such as your personal details, the name of the person you want to designate as your health care agent, and any specific instructions or preferences you have regarding your medical treatment.
2. Consult with an attorney or obtain a valid health care power of attorney form that is recognized in your jurisdiction. This form will typically outline the necessary steps and provide a template for you to fill out.
3. Carefully read through the form and instructions, ensuring that you understand the terminology and requirements. If you have any questions or concerns, don't hesitate to seek legal advice or assistance.
4. Begin by providing your personal information, including your full name, address, and contact details. This will establish your identity and ensure that the document is legally binding.
5. Designate your health care agent by providing their full name, address, and contact details. This person will be responsible for making medical decisions on your behalf if you are unable to do so yourself.
6. Specify the powers and limitations of your health care agent. You can outline the types of decisions they are authorized to make, your preferences regarding medical treatments or procedures, and any specific instructions you want them to follow.
7. If you have any preferences regarding end-of-life care, such as whether or not you want to be kept on life support or if you have any religious or spiritual beliefs that should be considered, clearly state these in the document.
8. Sign and date the health care power of attorney form, ensuring that your signature is witnessed by two adults who are not named as your health care agent or alternate agent. Some jurisdictions may require the document to be notarized as well.
9. Make copies of the signed document and distribute them to relevant individuals, such as your health care agent, your primary care physician, and any family members or loved ones who should be aware of your wishes.
10. Periodically review and update your health care power of attorney as necessary. Life circumstances and medical preferences can change, so it's important to ensure that your document accurately reflects your current wishes.

Who needs a health care power of attorney:

1. Individuals who want to have control over their medical treatment decisions even if they are unable to communicate or make decisions due to illness, injury, or incapacitation.
2. Those who have specific medical treatment preferences or instructions that they want to ensure are followed.
3. People who want to designate a trusted person to make medical decisions on their behalf, someone who understands their wishes and values.
4. Individuals with chronic illnesses, terminal conditions, or high-risk occupations where the likelihood of medical emergencies or unexpected health issues is greater.
5. Aging adults who want to have a plan in place for their medical care as they age, or anyone who wants to proactively prepare for unexpected medical situations.
6. Anyone who wants peace of mind knowing that their medical treatment decisions will be made according to their wishes and values.

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