Medical Power of Attorney

A Medical Power of Attorney (also called Healthcare Proxy or Healthcare Power of Attorney) allows you to name a trusted agent who can make medical decisions for you if you become unable to communicate or make decisions yourself.

What This Form Does

Authorizes your chosen agent to make healthcare decisions and access medical records on your behalf.

What This Form Does NOT Do

Does not give your agent authority over financial matters. Does not take effect while you are able to make your own decisions.

Who This Is For

Adults who want to ensure their healthcare wishes are followed.

Important Notice

This is a self-guided legal template. It is not legal advice and does not create an attorney-client relationship. You are responsible for determining if this form is suitable for your state and situation. If you have questions, consult a licensed attorney.

$35.00

One-time purchase

10-20 min to complete

Secure payment and storage

Download anytime

Complete in minutes

Related Forms

POA Bundles

Essential documents to protect your physical and financial well being. Includes authorizations for medical and financial matters. Additionally, the Parent POA Bundle plus is designed specifically for young adults heading off to college.

$79.00

Advance Directive / Living Will

An Advance Directive, or Living Will, states your wishes for medical treatment and end-of-life care if you cannot communicate or make decisions for yourself.

$200.00

HIPAA Authorization

Authorizes healthcare providers to share your medical information with designated individuals.

$29.00