Health Care Power of Attorney Forms By State

The Health Care Power of Attorney Form is recognized by all 50 states. Many states use different names such as Medical Power of Attorney, Health Care Proxy, Health Care Agent, and Health Care Representative. It is your responsibility to check with your state to determine if these or any legal form meets all of the requirements set forth by the state.

We must include the following legal disclaimer:

The health care power of attorney forms and other legal forms available on this website are provided “as is” without any express or implied warranties of any kind including, but not limited to, warranty of merchantability or fitness for any particular purpose. It is your responsibility to determine if the form can be used in your state.

As a user of this website, you assume all responsibility and risk for the use of this Health Care Power of Attorney Form and other legal forms obtained from the site. We do not assume any legal liability or responsibility for the accuracy or usefulness of the legal forms generated by the templates we offer. We will not be liable for damages or compensation, whether direct, indirect, or incidental, resulting from the loss of use or profit arising out of or in connection with the use or execution of the legal forms or the form templates.

The first two links below are for a generic Health Care Power of Attorney Form. If your state doesn’t offer a specific form, you can use the form below.

Most of our Health Care Power of Attorney forms are available in both Microsoft Word and PDF. A few are available as PDF only.

Health Care Power of Attorney Form Microsoft Word

Health Care Power of Attorney Form PDF


Alabama Health Care Power of Attorney Form

Alaska Health Care Power of Attorney Form

Arizona Health Care Power of Attorney Form

Arkansas Health Care Power of Attorney Form

California Health Care Power of Attorney Form

Colorado Health Care Power of Attorney Form

Connecticut Health Care Power of Attorney Form

Delaware Health Care Power of Attorney Form

Florida Health Care Power of Attorney Form

Georgia Health Care Power of Attorney Form

Hawaii Health Care Power of Attorney Form

Idaho Health Care Power of Attorney Form

Illinois Health Care Power of Attorney Form

Indiana Health Care Power of Attorney Form

Iowa Health Care Power of Attorney Form

Kansas Health Care Power of Attorney Form

Kentucky Health Care Power of Attorney Form

Louisiana Health Care Power of Attorney Form

Maine Health Care Power of Attorney Form

Maryland Health Care Power of Attorney Form

Massachusetts Health Care Power of Attorney Form

Michigan Health Care Power of Attorney Form

Minnesota Health Care Power of Attorney Form

Mississippi Health Care Power of Attorney Form

Missouri Health Care Power of Attorney Form

Montana Health Care Power of Attorney Form

Nebraska Health Care Power of Attorney Form

Nevada Health Care Power of Attorney Form

New Hampshire Health Care Power of Attorney Form

New Jersey Health Care Power of Attorney Form

New Mexico Health Care Power of Attorney Form

New York Health Care Power of Attorney Form

North Carolina Health Care Power of Attorney Form

North Dakota Health Care Power of Attorney Form

Ohio Health Care Power of Attorney Form

Oklahoma Health Care Power of Attorney Form

Oregon Health Care Power of Attorney Form

Pennsylvania Health Care Power of Attorney Form

Rhode Island Health Care Power of Attorney Form

South Carolina Health Care Power of Attorney Form

South Dakota Health Care Power of Attorney Form

Tennessee Health Care Power of Attorney Form

Texas Health Care Power of Attorney Form

Utah Health Care Power of Attorney Form

Vermont Health Care Power of Attorney Form

Virginia Health Care Power of Attorney Form

Washington Health Care Power of Attorney Form

West Virginia Health Care Power of Attorney Form

Wisconsin Health Care Power of Attorney Form

Wyoming Health Care Power of Attorney Form


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