Durable Power Of Attorney For Health Care Michigan Fillable

The principal and their patient advocate should share similar values as to health care and the advocate should be able to comfortably fulfill the principal s requests when the time comes.

Durable power of attorney for health care michigan fillable.

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. A durable power of attorney for health care also known as a health care proxy or a patient advocate designation is a. You can mail the form to us at. Page 3 of 7 1 4 agent s obligation.

Adobe pdf ms word docx opendocument signing requirements 700 5501. Anyone else who might need to know about your health care decisions for example a spouse a nursing home or a hospital. Durable power of attorney if you are doing long term planning and want to plan for the possibility of your incapacity a durable poa can be helpful as it allows someone to take over your affairs when you can no longer handle them yourself. My agent shall make health care decisions for me in accordance with this power of attorney for health care any instructions i give in part 2 of this form and my other wishes to the extent known to my agent.

Two 2 witnesses or notary acknowledgment. Or fax it to 1 866 894 3101. To change your durable power of attorney for health care fill out a. The document is called a durable power of attorney for health care dpoa hc.

This power of attorney has effect only if i become unable to participate in treatment decisions. Durable power of attorney for health care wp 11479 aug 0 durablepoahealthcare 0810 i of michigan name city hereby appoint patient advocate residing at patient advocate address as my attorney in fact herein called patient advocate with the following power to be exercised. Blue cross blue shield of michigan mail code 0400 600 e. In a health care power of attorney or health care proxy you select the family member or trusted friend you want to make health care decisions for you when you cannot.

Michigan state long term care. The michigan medical power of attorney form is used to designate a patient advocate to make all health care decisions for the principal if they become incapacitated due to illness old age or injury. The fill in the blanks forms at the end of the pamphlet are but one option should you choose to proceed. Get and sign durable power of attorney for health care michigan fillable 2010 2020 form making decisions regarding my care custody or medical treatment.

Questions and answers about advance directives. Free printable medical health care power of attorney forms.