This Pennsylvania Health Care Power of Attorney Form can be used to appoint someone else to make medical decisions on your behalf in the event that you are unable to make the decisions for yourself. In Pennsylvania the power of attorney is called a Medical Decision Maker. It is your responsibility to accurate complete the Pennsylvania Health Care Power of Attorney Form and ensure that it is witnessed or notarized if required by state law.
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The Pennsylvania Health Care Power of Attorney is available in PDF format. We were unable to convert the document to Microsoft Word. You may be able to convert the file to PDF using Adobe or other document conversion software.