Get Illinois Statutory Short Form Power Of Attorney For Health Care

Filling out the Illinois Statutory Short Form Power Of Attorney For Health Care is an important step in ensuring your health care preferences are honored. This guide provides clear, step-by-step instructions to help you successfully complete the form online.

Follow the steps to fill out the Illinois Statutory Short Form Power Of Attorney For Health Care.

1. Click ‘Get Form’ button to obtain the form and open it in the digital editor.
2. In the first section, enter the date of completion. Provide the month and year clearly to indicate when the power of attorney is being established.
3. Fill in your full name and address in the designated space where it says 'I, ________________'. This identifies you as the principal who is appointing an agent.
4. Next, enter the name and address of the person you are designating as your agent. This person will have the authority to make health care decisions on your behalf.
5. Indicate whether you grant your agent the authority to make anatomical gifts by initializing the appropriate option provided on the form.
6. In the section regarding exclusions or limitations, specify any limitations to the powers granted to your agent regarding your health care decisions.
7. Choose your preferences regarding life-sustaining treatment by initialing the statement that aligns with your desires.
8. If you wish to set specific effective or termination dates for this power of attorney, please fill in the relevant dates in the indicated sections.
9. Designate any successor agents by providing their names and addresses if applicable.
10. Read the final statement carefully, signing your name where indicated. Ensure you also provide witness signatures and information, if necessary.

Complete your documents online to ensure your health care wishes are clearly outlined.