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18772098086 www.wvendoflife.orgAdvance Directives for Health Care Decision-making in West VirginiaFrequently Asked Questions and Forms INSIDE: Living Will Medical Power of Attorney Combined Living

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How to fill out medical power of attorney

01

Obtain the necessary form for medical power of attorney.

02

Fill in your personal information such as name, address, and date of birth.

03

Choose someone you trust as your agent and fill in their information.

04

Specify the powers you are granting to your agent regarding your medical decisions.

05

Sign the form in the presence of witnesses or a notary public.

Who needs medical power of attorney?

01

Anyone who wants to ensure that their medical wishes are carried out in case they are unable to make decisions for themselves.

02

People with chronic illnesses or medical conditions that may require sudden medical decisions.

03

Elderly individuals who may need assistance with medical decisions in the future.

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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 else to make medical decisions on their behalf if they are unable to do so.

Who is required to file medical power of attorney?

Any adult who wants to ensure that their medical wishes are carried out in the event they become incapacitated.

How to fill out medical power of attorney?

To fill out a medical power of attorney, you will need to specify the person you want to make medical decisions for you, sign the document in front of witnesses, and have the document notarized.

What is the purpose of medical power of attorney?

The purpose of a medical power of attorney is to ensure that your medical preferences are followed if you are unable to communicate them yourself.

What information must be reported on medical power of attorney?

Medical power of attorney should include the name of your chosen healthcare agent, instructions on your medical preferences, and any specific treatments you want or do not want.

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