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Medical Power of Attorney Provided by Texas Conference of Catholic Health Facilities 1625 Rutherford Lane, Bldg. D Austin, TX 78754 (512) 3391157 MEDICAL POWER OF ATTORNEY DESIGNATION OF HEALTH CARE
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How to fill out medical power of attorney

How to fill out a medical power of attorney:
01
Start by downloading a medical power of attorney form from a reliable source or obtaining one from your attorney.
02
Fill out your personal information, including your full name, address, and contact details.
03
Indicate the person to whom you are granting medical power of attorney. Include their full name, address, and contact details.
04
Specify the duration of the medical power of attorney. You can choose to make it effective immediately or only when you become unable to make medical decisions for yourself.
05
Include any specific instructions or limitations you want to impose on the person designated as your medical power of attorney. For example, you may want to specify certain medical treatments or procedures that you do not wish to undergo.
06
Sign the document in the presence of a notary public or two witnesses as required by your state's laws.
07
Make copies of the completed medical power of attorney form and distribute them to your healthcare providers, primary care physician, and any other individuals you believe should have a copy.
08
Review and update your medical power of attorney periodically, especially if there are any significant changes in your health, personal circumstances, or relationships.
Who needs medical power of attorney?
01
Individuals who have specific preferences or concerns regarding their medical treatment in case they become unable to make decisions for themselves.
02
Elderly individuals who may require assistance in managing their medical care and decisions.
03
Patients with chronic or terminal illnesses who may face complex medical decisions.
04
Individuals with disabilities or impairments that may affect their decision-making capacity.
05
Anyone who wants to ensure that their healthcare wishes are respected and that a trusted person is authorized to make medical decisions on their behalf.
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