Get N.c. General Statute 32a-25 Statutory Form For Health Care Power ... - Unc

Completing the N.C. General Statute 32A-25 Statutory Form for Health Care Power of Attorney is an essential step in designating someone to make health care decisions on your behalf. This guide offers clear, step-by-step instructions to help you fill out the form accurately and effectively, ensuring that your health care preferences are respected.

Follow the steps to complete the form successfully.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. In the 'Designation of Health Care Agent' section, enter your full name to indicate that you are appointing someone as your health care agent. Provide their name, home address, home telephone number, and work telephone number as well.
3. If you wish to designate alternate agents in case your primary agent cannot serve, fill out the optional sections by providing their names and contact information.
4. In the 'Effectiveness of Appointment' section, identify the physician or physicians who will determine your capacity to make health care decisions. Fill in their names as required.
5. Complete the 'General Statement of Authority Granted' section, ensuring to grant your health care agent full authority over the health care decisions specified. Read each authority carefully and ensure it aligns with your wishes.
6. Specify any special provisions or limitations on your health care agent's authority in the 'Special Provisions and Limitations' section. You may include specific instructions regarding life-sustaining treatment or limitations regarding mental health decisions.
7. If applicable, nominate your health care agent as your guardian in the 'Guardianship Provision' section.
8. Read the 'Reliance of Third Parties on Health Care Agent' provisions thoroughly to understand the implications of your health care agent's actions.
9. In the 'Signature of Principal' section, sign and date the document, verifying your mental competence and understanding of the powers granted to your agent.
10. Have two witnesses sign the document in the 'Signatures of Witnesses' section, confirming they are not related to you and are not involved in your health care.
11. Finally, if required, have the document notarized in the 'Certificate' section to ensure its legal validity.
12. Once you have completed the form, save your changes, and consider downloading or printing copies to distribute to your health care agent, physician, and family members.

Start filling out your health care power of attorney form online today to ensure your health care preferences are clearly communicated.