Power of Attorney for Healthcare

Use this document (fillable form attached below) to chose the person who will carry out your health care instructions in case you are not conscious or are unable to make those decisions.

You do not have to chose a family member. If you do, make sure to give that person a notarized copy. Also share the document with other family members and give a copy to your doctor.

This document only gives powers to your chosen person while you are living. You may take away that power or change it at any time.