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  • Uwh301677-dt 2020

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Cover Page: Do not scanOverview This legal document meets the requirements for Wisconsin. It lets you Name another person to make your health care decisions if you cannot make them for yourself. Write.

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How to fill out the UWH301677-DT online

The UWH301677-DT is a legal document designed for individuals in Wisconsin to appoint a health care agent and outline their medical care preferences. Completing this form is essential for ensuring that your health care decisions align with your desires in the event that you cannot communicate them yourself.

Follow the steps to complete the UWH301677-DT form online.

  1. Press the ‘Get Form’ button to acquire the UWH301677-DT document and open it in the editing tool.
  2. In Part 1, select a health care agent by filling in their name, phone number, and address. Consider someone who knows your values and can advocate for you.
  3. If necessary, provide details for alternate health care agents in the designated sections. This is important in case your primary agent is unavailable.
  4. Moving to Part 2, indicate the general authority you wish to grant your health care agent by marking the appropriate options.
  5. Complete the specific limitations regarding mental health treatment, if relevant. Make sure you are aware of what your health care agent can or cannot decide.
  6. In Part 3, express your desires about medical treatments in specific situations. This includes your stance on life-prolonging treatments and CPR preferences.
  7. Add any specific care instructions that reflect your comfort preferences and personal messages for your loved ones if you are near death.
  8. Indicate your preferences regarding organ or tissue donation and any thoughts about having an autopsy.
  9. Finally, in Part 4, sign and date the document in front of two qualified witnesses to finalize the directive. Make sure your witnesses meet all necessary criteria.
  10. Once the form is filled out, save your changes, and choose whether to download, print, or share the completed document with your health care agent and family members.

Start completing your UWH301677-DT form online today.

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(2) A witness to the execution of a valid power of attorney for health care instrument shall be an individual who has attained age 18....155.20(2)(a)1. An institution for mental diseases, as defined in s. ... An intermediate care facility for persons with an intellectual disability, as defined in s.

Can a nurse practitioner activate a POA in Wisconsin? Pursuant to the bill, APRNs and PAs cannot activate a Power of Attorney or Living Will without having the education, training and experience to make the statutorily required diagnosis.

In Wisconsin, there are two main types of POAs. Healthcare Power of Attorney. This allows the person to make health care decisions on your behalf should you be unable to make them. Financial Power of Attorney.

A Wisconsin medical power of attorney lets a person select a health care agent to step in and make decisions if a patient becomes incapacitated. The patient can make special instructions for the agent and must be signed with two (2) witnesses to be legal.

Most Power of Attorney for Health Care documents provide that the document becomes “activated” when two physicians or one physician and one psychologist personally examine the principal and then sign a statement certifying that the principal is incapacitated.

A Wisconsin durable statutory power of attorney form is used to authorize a person (“agent”) to handle the financial affairs of someone else during their lifetime. The person giving power (“principal”) is recommended to choose a trusted person to be their agent such as a spouse, family member, or close friend.

IF YOU WISH TO CHANGE YOUR POWER OF ATTORNEY FOR HEALTH CARE, YOU MAY REVOKE THIS DOCUMENT AT ANY TIME BY DESTROYING IT, BY DIRECTING ANOTHER PERSON TO DESTROY IT IN YOUR PRESENCE, BY SIGNING A WRITTEN AND DATED STATEMENT OR BY STATING THAT IT IS REVOKED IN THE PRESENCE OF TWO WITNESSES.

A Wisconsin medical power of attorney lets a person select a health care agent to step in and make decisions if a patient becomes incapacitated. The patient can make special instructions for the agent and must be signed with two (2) witnesses to be legal.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232