IL Power of Attorney for Health Care of a Minor Dependent 2015-2025 free printable template
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ILLINOIS POWER OF ATTORNEY FOR HEALTH CARE OF A MINOR DEPENDENT PURSUANT TO 755 ILLS 45/41 et seq. 1. My/our child is born on. I/we (Biological Parent/Legal Guardian), *, hereby appoint (Safe Family
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How to fill out IL Power of Attorney for Health Care of a Minor
How to fill out IL Power of Attorney for Health Care of a Minor Dependent
01
Obtain the IL Power of Attorney for Health Care form for a minor dependent from a reliable source or the Illinois Department of Healthcare and Family Services.
02
Begin by filling out the names and information of the parent or guardian, including contact information.
03
Identify the minor dependent for whom the power of attorney is being established, including their full name and date of birth.
04
Specify the person or persons you are designating as the agent(s) to make healthcare decisions on behalf of the minor, including their names and relationship to the minor.
05
Clearly outline the powers granted to the agent(s) regarding healthcare decisions, including consent to medical treatment, access to medical records, and decisions about life-sustaining treatment.
06
Optionally, include any specific wishes or instructions regarding medical care for the minor dependent.
07
Sign and date the document in the presence of a notary public or witness as required by Illinois law.
08
Make copies of the signed form for the agent(s), the minor's healthcare provider, and keep a copy for your records.
Who needs IL Power of Attorney for Health Care of a Minor Dependent?
01
Parents or legal guardians of minor dependents who wish to ensure that a trusted person can make healthcare decisions for their child in case they are unable to do so themselves.
02
Individuals seeking to appoint an agent to make medical decisions that align with their values and preferences for their minor child.
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What is IL Power of Attorney for Health Care of a Minor Dependent?
The IL Power of Attorney for Health Care of a Minor Dependent is a legal document that allows a parent or guardian to appoint an individual to make healthcare decisions on behalf of their minor child in the event that the parent or guardian is unable to do so.
Who is required to file IL Power of Attorney for Health Care of a Minor Dependent?
Typically, a parent or legal guardian of a minor is required to file the IL Power of Attorney for Health Care of a Minor Dependent to ensure that healthcare decisions can be made for the child when they are unable to participate in those decisions.
How to fill out IL Power of Attorney for Health Care of a Minor Dependent?
To fill out the IL Power of Attorney for Health Care of a Minor Dependent, you must provide information about the minor child, the designated agent who will make healthcare decisions, and any specific instructions or limitations regarding the agent's authority. The document must be signed and dated by the parent or guardian.
What is the purpose of IL Power of Attorney for Health Care of a Minor Dependent?
The purpose of the IL Power of Attorney for Health Care of a Minor Dependent is to ensure that a trusted individual can make timely and informed healthcare decisions for the child in case the parent or guardian is unavailable or incapacitated.
What information must be reported on IL Power of Attorney for Health Care of a Minor Dependent?
The information that must be reported includes the name and address of the minor child, the name and contact information of the designated agent, any specific healthcare preferences or instructions from the parent or guardian, and signatures from the parent or guardian.
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