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A medical power of attorney form also known as an advance directive or health care proxy is a form that allows a person to elect someone else to handle health care decisions on their behalf only if they are not able to do so themselves.
Free power of attorney health care form. Illinois department of public health. In this document you should give directions to the person you select as your spokesperson or health care agent or proxy about the full range of care you want. When it does you may need someone else to speak or make health care decisions for you. Part 1 lets you name another individual as agent to make health care decisions for you if you become incapable of making your own decisions or if you want someone else to make those.
Part 1 of this form is a power of attorney for health care. You are free to use a different form. Illinois statutory short form. Notice to the individual signing.
The power of attorney for health care. Medical power of attorney allows a person to handle someone else s health care decisions only in the chance that he or she may not be able to think for themselves. The representative may not choose any end of life decisions unless the principal specifically writes in that he or she would like that as an option. No one can predict when a serious illness or accident might occur.
If any provision is found to be invalid or unenforceable it will not affect the rest of this. The situation that would require this could be due to any type of incapacitation events such as a coma vegetative state or any type of mental. Free printable medical health care power of attorney forms. Power of attorney for health care.
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