Get Power Of Attorney For Health Care And Instruction For ... - Bellin Hospital

Completing the Power Of Attorney for Health Care is a vital step in ensuring that your health care preferences are honored when you are unable to make decisions for yourself. This guide provides professional, clear, and supportive instructions for filling out this important legal document online.

Follow the steps to complete your Power Of Attorney for Health Care form.

1. Click the ‘Get Form’ button to obtain the Power Of Attorney for Health Care document and open it in your selected editor.
2. In Part I, appoint your health care agent by providing their name, contact details, and address. Ensure this person understands your values and wishes.
3. In Part II, specify the authority you grant your health care agent. Initial next to each statement, indicating your choices. Draw a line through any statements you do not agree to.
4. In Part III, write any specific desires or limitations regarding your health care preferences. You may choose to indicate ‘no instructions’ if you do not wish to provide detailed guidance.
5. In Part IV, sign and date the document in the presence of two witnesses who meet the specified criteria, or a notary public if required by your state.
6. After completing the document, make copies for your records, your health care agent, and your physician. Mail the signed and witnessed document to Bellin Health Medical Records.

Complete your Power Of Attorney for Health Care form online to ensure your health care wishes are respected.