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