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As my agent to make any and all health care decisions for me, except to the extent I state otherwise in this document. A medical power of attorney authorizes healthcare decisions to be made for you, while a financial power of attorney allows for financial decisions.You are free to create your own advance health care directive to convey your wishes regarding medical treatment. If you decide this is the form you want to use, complete the form. Give a copy of your medical POA form to your agent and other interested parties, like your medical office. This durable Healthcare Power of Attorney form lets you name someone as your agent to make healthcare decisions for you if you are very sick or hurt.