This is a medical power of attorney form for use in states that don’t offer their own form. Be sure to check our State Medical Power of Attorney Forms page to see if a different form is available for your state.
You will be able to download this Medical Power of Attorney Form in PDF format immediately.
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You can either print the document and fill in the blanks by hand or enter the information directly into the form. This is a “fillable” PDF. If you’re not familiar with fillable PDFs, the first time can be rather confusing. Here are a few tips for using the fillable form:
- Use a computer or laptop. The forms are rather difficult to use on a mobile device.
- To use a fillable PDF on a mobile device, you must have a PDF reader installed on the device.
- Use the keyboard Tab key to quickly move from one field to the next.
- If you’re not sure what information goes in a field, hover your mouse over the field. A tooltip will display the information that should be entered.
For the free Word version of this document, visit our Medical Power of Attorney Form Word page.