Pennsylvania Health Care Power of Attorney Form

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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This Pennsylvania Health Care Power of Attorney 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.

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Click the link below to download the Pennsylvania Health Care Power of Attorney. When the template opens, save it to your computer. Depending on the settings for your computer or device, the form might automatically download.

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.

Pennsylvania Health Care Power of Attorney Form PDF


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