Maine Revocation of Advance Health Care Directive

This form is a revocation of Form ME-P021, an Advance Health-Care Directive, that allows you to grant a power of attorney for health care decisions, make specific instructions for your healthcare, make anatomical gifts and designate a primary physician. An individual with capacity may revoke the designation of an agent only by a signed writing or by personally informing the supervising health-care provider. An individual with capacity may revoke all or part of an advance health-care directive, other than the designation of an agent, at any time and in any manner that communicates an intent to revoke.