Durable Medical Power of Attorney Form

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

Durable Medical Power of Attorney Form
Durable Medical Power of Attorney Form

IMPORTANT: This is a durable medical power of attorney form that can be used in most states. To see if the form is available for your state, visit our Health Care Power of Attorney Forms By State web page.

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We offer the free Durable Medical Power of Attorney Form in Microsoft Word as well as a free PDF form. The Word file can be printed as is so you can fill in the blanks by hand. It can also be customized in case you want to change, add, or delete sections. The PDF version is chosen most often by users who want to print the document and fill in the blanks.

Click the link below to download the Durable Medical Power of Attorney Form in Microsoft Word format . You may also create the Durable Medical Power of Attorney Form using our free fillable PDF version. The PDF has fillable fields into which you can type the required information.

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WORD – Durable Medical Power of Attorney Form

PDF (fill-in-the-blanks) – Durable Medical Power of Attorney Form

Medical Power of Attorney Forms By State

Medical Power of Attorney Forms By State

AlabamaLouisianaOhio
AlaskaMaineOklahoma
ArizonaMarylandOregon
ArkansasMassachusettsPennsylvania
CaliforniaMichiganRhode Island
ColoradoMinnesotaSouth Carolina
ConnecticutMississippiSouth Dakota
DelawareMissouriTennessee
FloridaMontanaTexas
GeorgiaNebraskaUtah
HawaiiNevadaVermont
IdahoNew HampshireVirginia
IllinoisNew JerseyWashington
IndianaNew MexicoWashington DC
IowaNew YorkWest Virginia
KansasNorth CarolinaWisconsin
KentuckyNorth DakotaWyoming

The free Durable Medical Power of Attorney Form as well as numerous various other legal records furnished free on this site are supplied “as is” without having explicit or implied warranties. This includes, yet is not restricted to, warranty of merchantability or fitness for any type of type of specific use.

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These particular Durable Medical Power of Attorney Form were not fashioned by legal professional or law practice. If the documentation is legally proper for your demands, it is your duty to figure out. If needed, you have to also make certain that the form is properly filled out as well as also witnessed and/or notarized.

As a site visitor of this site, you assume all liability along with answerability for signing and also employing the Durable Medical Power of Attorney Form. We do not assume any legal duty or commitment for the accuracy or performance of the legal documentation.

By saving, printing, or implementing these Durable Medical Power of Attorney Form, you recognize that we will not be held liable for damages or losses, whether direct or indirect, as a result of the loss of use or loss of revenues cropping up from the utilization or execution of the legal forms or the form templates supplied on this online site.

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