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DIVINE MERCY HOMESCHOOL COOPERATIVE PERMISSION, RELEASE AND MEDICAL POWER OF ATTORNEY (rev. 042018) 1. I, the undersigned and the parent or lawful guardian of (name all children who may be on site

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How to fill out medical power of attorney

01

Begin by choosing a trusted individual to act as your agent in making medical decisions on your behalf.

02

Obtain a medical power of attorney form from your state's laws or consult an attorney for assistance.

03

Fill out the form with your personal information, the name of your agent, and any specific instructions or limitations you wish to include.

04

Sign the form in the presence of witnesses or a notary public as required by state law.

05

Provide copies of the completed form to your healthcare providers and make sure your agent understands their role and responsibilities.

Who needs medical power of attorney?

01

Anyone over the age of 18 can benefit from having a medical power of attorney in place.

02

Individuals with chronic illnesses, advanced age, or who are undergoing medical treatment may especially benefit from appointing a medical power of attorney.

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What is medical power of attorney?

Medical power of attorney is a legal document that allows an individual to appoint someone to make medical decisions on their behalf if they are unable to do so.

Who is required to file medical power of attorney?

Any competent adult can file a medical power of attorney to designate someone to make medical decisions on their behalf.

How to fill out medical power of attorney?

To fill out a medical power of attorney, you can download a form online or consult with an attorney to ensure it is filled out correctly.

What is the purpose of medical power of attorney?

The purpose of a medical power of attorney is to ensure that an individual's medical wishes are carried out if they are unable to communicate them themselves.

What information must be reported on medical power of attorney?

A medical power of attorney typically includes the name of the appointed healthcare agent, specific medical decisions they are authorized to make, and any limitations on their authority.

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