Mental Health Power Of Attorney Form

Category:

Power of Attorney - Healthcare

State:

Pennsylvania

Control #:

PA-P018

Format:

Instant download

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Description

The Mental Health Power of Attorney form allows an individual to designate an agent to make decisions regarding their mental health care when they cannot do so themselves. This form ensures that the designated agent has the necessary authority to manage treatment decisions, including consent for medications and treatments like electroconvulsive therapy, while outlining the agent's responsibilities. Users can specify the conditions under which this authority becomes effective, as well as detailed treatment preferences. The form also includes provisions for revocation and termination, making it flexible and user-friendly. This document is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who assist clients in managing health care decisions in cases of incapacity. When filling out the form, it's essential to ensure that all sections are completed accurately, including the designation of an alternative agent and any specific treatment instructions. It is also advisable to consult with a legal professional for clarity and compliance with applicable laws.

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How to fill out Pennsylvania Mental Health Care Power Of Attorney?

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FAQ

Laws on PADs vary by state. In general, a PAD has two parts: an advance instruction and a health care power of attorney. A person who wishes to develop a PAD can use one or both parts. The advance instruction can detail preferences for treatment, give consent for admission and consent for contact in advance.

There are some general strategies that you can use to help:Listen without making judgements and concentrate on their needs in that moment.Ask them what would help them.Reassure and signpost to practical information or resources.Avoid confrontation.Ask if there is someone they would like you to contact.More items...

All mentally capable people have the right to make autonomous decisions for their lives based on free and informed consent.

Health care power of attorney (POA) and health care agent In addition to making health care decisions on your behalf, your health care agent can also access your mental health records. Your health care agent can only make decisions for you when you are unable to make them yourself.

The general term for such person is surrogate decision maker. If there is no health care power of attorney document in place and no court-appointed guardian with authority to make health care decisions, most states provide for a default surrogate decision maker in their state laws.

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Mental Health Care Power of Attorney

Power of Attorney and Health Care - General - Pennsylvania

Definitions

A "declaration" is a written document voluntarily executed by the declarant in accordance with this chapter.

"Life sustaining treatment" is any medical procedure or intervention that, when administered to a qualified patient, will serve only to prolong the process of dying or to maintain the patient in a state of permanent unconsciousness. Life sustaining treatment includes nutrition and hydration administered by gastric tube or intravenously or any other artificial or invasive means if the declaration of a qualified patient specifically provides. "Permanently unconscious" is a medical condition that has been diagnosed in accordance with currently accepted.

A "qualified patient" is a person who has executed a declaration and who has been determined to be in a terminal condition or to be permanently unconscious.

A "terminal condition" is an incurable and irreversible medical condition caused by injury, disease or physical illness which will, in the opinion of the attending physician, to a reasonable degree of medical certainty, result in death regardless of the continued application of life sustaining treatment.

Execution of Declaration

An individual of sound mind who is 18 years of age or older or who has graduated from high school or has married may execute at any time a declaration governing the initiation, continuation, withholding or withdrawal of life sustaining treatment.

Witnesses

The declaration must be signed by the declarant, or by another on behalf of and at the direction of the declarant, and must be witnessed by two individuals each of whom is 18 years of age or older. A witness shall not be the person who signed the declaration on behalf of and at the direction of the declarant.

Form

A declaration is not required to be in the statutory form and may include other specific directions, including, but not limited to, the designation of another person to make the treatment decision for the declarant if the declarant is incompetent and is determined to be in a terminal condition or to be permanently unconscious.

Revocation

A declaration may be revoked at any time and in any manner by the declarant without regard to the declarant's mental or physical condition.

A revocation is effective upon communication to the attending physician or other health care provider by the declarant or a witness to the revocation.

Note: All Information and Previews are subject to the Disclaimer located on the main forms page, and also linked at the bottom of all search results.

Mental Health Care Power of Attorney

Power of Attorney and Health Care - General - Pennsylvania

Definitions

A "declaration" is a written document voluntarily executed by the declarant in accordance with this chapter.

A "qualified patient" is a person who has executed a declaration and who has been determined to be in a terminal condition or to be permanently unconscious.

Execution of Declaration

Witnesses

Form

Revocation

A declaration may be revoked at any time and in any manner by the declarant without regard to the declarant's mental or physical condition.

A revocation is effective upon communication to the attending physician or other health care provider by the declarant or a witness to the revocation.

Note: All Information and Previews are subject to the Disclaimer located on the main forms page, and also linked at the bottom of all search results.

Mental Health Power Of Attorney Form

This form is part of a form package!

Description

Related forms

Viewed forms

How to fill out Pennsylvania Mental Health Care Power Of Attorney?

Form popularity

FAQ

What are the two parts of a psychiatric advance directive?

How do you deal with an unstable person?

Can a person with mental illness give consent?

Who makes decisions for the mentally ill?

Who makes medical decisions if there is no family?

Explore more forms

Trusted and secure by over 3 million people of the world’s leading companies

Mental Health Power Of Attorney Form

This form is part of a form package!

Description

Related forms

Viewed forms

How to fill out Pennsylvania Mental Health Care Power Of Attorney?

Form popularity

FAQ

What are the two parts of a psychiatric advance directive?

How do you deal with an unstable person?

Can a person with mental illness give consent?

Who makes decisions for the mentally ill?

Who makes medical decisions if there is no family?

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