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FindLaw provides low-cost financial power of attorney forms that can be completed at your convenience. This legal document recognizes the fact that you have given another person authority over your health care.It becomes useful when you face unforeseen problems. I,. , domiciled in the State of Washington, designate. As my attorney in fact, to act for me in making health care decisions if I become incapacitated. Is there a form I can use to give a Power of Attorney? The attached form is a sample which, when properly completed, becomes effective only when you are unable to make your own health care decisions. Every citizen in the state of Washington has the right to create Washington power of attorney forms. This is known as a springing power of attorney, as it "springs" into effect. Appoint a trusted person to control your legal and financial affairs on your behalf.