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A medical power of attorney appoints a surrogate the right to make judgment calls concerning the principal’s health care. This instrument can provide their representatives with the ability to obtain personal health care information and authorize or decline certain medical procedures.
A medical power of attorney form allows a person ("principal") to select an agent to make healthcare decisions on their behalf. The agent’s powers are effective after the principal becomes incapacitated and cannot make decisions on their own.
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Medical Power of Attorney – Strictly allows a person to choose someone else to act as their health care agent in case the patient is no longer able to make decisions for themselves. Download : Adobe PDF , MS Word (.docx)
Medical Power of Attorney Forms. A medical power of attorney allows a person (principal) to name another person (agent or attorney-in-fact) with the authority to make healthcare-related decisions when they no longer can themselves.
Download a medical power of attorney (MPOA) form to appoint an agent to make healthcare decisions on your behalf if you become incapacitated.
The Power of Attorney for Health Care form makes it possible for adults in Wisconsin to authorize other individuals (called health care agents) to make health care decisions on their behalf should they become incapacitated.