Revocation of Mental Health Power of Attorney Form

This revocation of mental health power of attorney form can be used in many states. Some states, in particular California and New York, have particular wording and conditions that must be included in the power of attorney form. It is your responsibility to check with your state to determine if this revocation of mental health power of attorney form meets all of the requirements set forth by the state.

We must include the following legal disclaimer:

This revocation of mental health power of attorney form 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 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.

Click the link below to download the revocation of mental health power of attorney form template. When the template opens, save it to your computer. You must use Microsoft Word to customize the template. If you don’t have Word, you can obtain a free trial version from Microsoft. Be sure to carefully read the template to ensure that you provide all of the required information.

REVOCATION OF MENTAL HEALTH POWER OF ATTORNEY FORM