Durable Power of Attorney for Health Care

Durable Power of Attorney for Health Care

A Durable Power of Attorney for Health Care is a document in which you name another person to make medical decisions for you anytime you are unable to make them for yourself.

You can include instructions about any treatment you do (or do not) want, such as surgery, artificial nutrition and hydration (such as fluids or medicine). You can create a Durable Power of Attorney for Health Care with or without the advice of a lawyer.

How to prepare a Durable Power of Attorney for Health Care:

  1. Review a Durable Power of Attorney for Health Care* form (PDF). Think about whether you wish to change the form. Consider any special instructions you want to include to limit or guide your representative. Write or type these instructions and attach them to the form.
  2. Choose the person you want to be your representative and obtain consent. Tell your representative as directly as possible the kinds of decisions you want made on your behalf, and make sure this person understands and respects your health-care wishes.
  3. Sign and date the form.
  4. Make copies of your Durable Power of Attorney for Health Care form for yourself, your representative, close family members and your lawyer, if you have one. Give your original Durable Power of Attorney for Health Care to your doctor. The Durable Power of Attorney for Health Care needs to be in the medical record kept by your doctor to ensure your wishes are followed.

* This document is provided as a community service by Swedish Medical Center, which recommends independent legal counsel be sought for any specific legal ramifications of this document.



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