Get Whatcom Health Care Alliance Power Of Attorney Directive Form

Completing the Whatcom Health Care Alliance Power Of Attorney Directive Form online empowers you to make crucial health care decisions in advance. This guide will walk you step-by-step through each component of the form, ensuring you understand how to appoint a health care agent and express your medical preferences.

Follow the steps to complete the form accurately and confidently.

1. Click ‘Get Form’ button to access the Power of Attorney for Health Care Directive Form online.
2. Begin filling out Part I by entering your personal information, including your name, date of birth, and contact details. This establishes your identity as the principal who is designating a health care agent.
3. In Part I, identify your chosen health care agent by filling out their name and contact information. This person will be responsible for making health care decisions on your behalf if you are unable to do so.
4. Also in Part I, provide an alternate health care agent if your first choice is unavailable. It's essential to have a backup to ensure your desires are honored.
5. Move to Part II to grant authority to your health care agent. Review each statement carefully. If you agree with the statement regarding their authority, initial next to it; if you do not agree, cross it out.
6. Continue to Part III, where you can specify your desires, any special provisions, or limitations. This is the section to articulate what types of health care you do or do not wish to receive in various situations.
7. In Part IV, make the document legal by signing and dating it in front of two witnesses. Ensure your witnesses meet the requirements outlined in the instructions.
8. Consider having your document notarized for additional validity, even though it’s not mandatory.
9. After completing and signing the document, distribute copies according to Part V instructions. This includes providing copies to yourself, your health care agent, and your primary physician.
10. Finally, store the original document in a safe yet accessible place and ensure that your health care agents and family members are aware of its location.

Complete your Power of Attorney Directive Form online today to ensure your health care wishes are respected.