Get Wi 12860 2017-2026

The WI 12860 form is a power of attorney for healthcare document that allows individuals to appoint someone to make healthcare decisions on their behalf if they become unable to do so. This guide provides step-by-step instructions for completing the form online in a clear and supportive manner.

Follow the steps to successfully complete the WI 12860 form.

1. Click ‘Get Form’ button to access the WI 12860 form and open it in your preferred online editor.
2. Begin by providing your personal information on the first page, including your name, date of birth, address, and telephone number.
3. On page 3, appoint at least one healthcare agent by clearly writing their name, contact information, and confirming their willingness to serve in this role.
4. Navigate to page 5 and indicate your choices for sections 1, 2, and 3, using the initialing system to confirm each selection.
5. In Part III, specify any desires, special provisions, or limitations regarding your healthcare preferences. This section is optional, but it can guide your agent according to your values.
6. Move to page 10 to sign and date the document. If you cannot sign, a designated person can sign on your behalf, which should be noted.
7. Ensure the document has been witnessed properly; both witnesses must be present during your signing, and they must meet certain criteria outlined in the form.
8. After completing the form, make copies for yourself, your healthcare agent, your physician, and any other relevant individuals or organizations. Consider sharing additional copies with loved ones.
9. Finally, review your completed document, save any changes, and if desired, download or print the form for your records.

Complete your documents online today to ensure your healthcare preferences are understood and respected.