Mississippi Power of Attorney for Healthcare

State:
Mississippi
Control #:
MS-61214
Format:
Word; 
Rich Text
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What is this form?

A Power of Attorney for Healthcare form allows you to designate a trusted individual to make healthcare decisions on your behalf if you become unable to do so. This document not only gives your selected agent authority to make decisions but also allows you to provide specific instructions regarding your medical care. Unlike a general Power of Attorney, which may cover financial and legal decisions, this form focuses exclusively on healthcare choices and your preferences regarding treatments and providers.

Key parts of this document

  • Designation of Agent: Name the individual who will act on your behalf in making healthcare decisions.
  • Agent's Authority: Outline the extent of your agent's authority, including the ability to consent to or withdraw treatments.
  • Instructions for Healthcare: Provide specific wishes regarding life-sustaining treatment, pain relief, and other healthcare directives.
  • Nomination of Guardian: Designate your agent as a potential guardian should one be needed.
  • Signature and Witnessing: Include your signature, date, and witness information to validate the document.
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State law considerations

This form complies with Mississippi law, as specified by the USLF control number MS-61214. Ensure to follow local legal requirements regarding witnessing and notarization if applicable in your jurisdiction.

When to use this document

This form is essential when you want to ensure that your healthcare preferences are honored, particularly in scenarios where you may be unable to express your wishes due to illness or incapacitation. It is useful for individuals facing surgery, chronic illness, or approaching advanced age who wish to have a say in their healthcare decisions in case of emergencies.

Who this form is for

  • Individuals who want to appoint someone to make healthcare decisions on their behalf.
  • People with specific medical treatment preferences they wish to express.
  • Anyone seeking reassurance that their healthcare wishes will be followed in case they become incapacitated.
  • Patients undergoing serious medical procedures or dealing with chronic illnesses.

How to complete this form

  • Identify the individuals you wish to designate as your primary and alternate agents for healthcare decisions.
  • Specify the authority you grant to your agent, including any limitations you wish to impose.
  • Provide specific instructions related to your healthcare preferences, including end-of-life decisions and pain management.
  • Nominate your agent as guardian if necessary and specify the order of alternate agents.
  • Sign and date the form in the presence of witnesses, ensuring all parties complete their required sections.

Does this form need to be notarized?

To make this form legally binding, it must be notarized. Our online notarization service, powered by Notarize, lets you verify and sign documents remotely through an encrypted video session.

Typical mistakes to avoid

  • Failing to discuss your healthcare wishes with the appointed agent.
  • Not completing all sections of the form, especially the instructions for healthcare.
  • Neglecting to have the form signed and witnessed properly, which may render it invalid.
  • Choosing an agent who may not be readily available or able to act when needed.

Key takeaways

  • A Power of Attorney for Healthcare allows you to designate someone to make medical decisions for you.
  • It is crucial to express specific healthcare wishes to ensure they are honored.
  • This document needs to be properly executed with signatures and witnesses to be valid.
  • Regularly review and update your form to reflect any changes in your medical preferences or appointed agents.

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FAQ

The requirements for a valid durable power of attorney in Mississippi are: Created by an adult or emancipated minor.Signed by two adult witnesses, at least one of whom isn't related to principal OR acknowledged by a notary public. Specifically authorizes the agent to make health care decisions.

In many states, notarization is required by law to make the durable power of attorney valid. But even where law doesn't require it, custom usually does. A durable power of attorney that isn't notarized may not be accepted by people with whom your attorney-in-fact tries to deal.

A Durable Power of Attorney for Health Care is a document that lets you name someone else to make decisions about your health care in case you are not able to make those decisions yourself. It gives that person (called your agent) instructions about the kinds of medical treatment you want.

The healthcare power of attorney helps people who cannot communicate to exert their wishes regarding their medical care and treatment. The persons listed on the HCPA document become the sick or injured person's agent or healthcare proxy.

In California and in many other states, there are POA forms specific to healthcare, and medical decisions are excluded from the general durable POAs. This means you can designate one person to be your agent for health decisions, and another for financial or legal decisions.

A unique feature of the new form is that it complies with state legal requirements for a valid power of attorney for health care in almost every state. Only five states have laws so inflexible and cumbersome that the bare bones power will not work: Indiana, New Hampshire, Ohio, Texas, and Wisconsin.

Duties of an Agent Through one or more powers of attorney, the principal can authorize an agent to manage numerous tasks, including entering into contracts, dealing with real and personal property, handling the principal's financial and tax affairs, and arranging for the principal's housing and health care.

A power of attorney allows one person to give legal authority to another person to act on their behalf. A financial power of attorney authorizes an individual to make financial decisions, while a medical power of attorney allows for someone to make medical decisions.

Can you have both a living will and healthcare power of attorney? Yes. Since a living will generally covers very specific issues like DNR (or do not resuscitate), it may not deal with other important medical concerns you might have.

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Mississippi Power of Attorney for Healthcare