Healthcare Proxy Templates

Residents of North Carolina may use this type of form when a principal wants to create a back-up option regarding their treatment and have another individual be able to make specific choices concerning treatment.

This form is used in North Dakota and allows for a principal to delegate themselves an agent that will hold the legal right to make medical decisions concerning the principal in emergency situations.

In Ohio, this form provides an agent with the legal power to make medical decisions on behalf of the principal.

This form gives permission for an agent to represent a principal in a medical institution in the state of Oklahoma, allowing them to make certain decisions relating to treatment and any other important medical decisions.

In Pennsylvania, this form is a legal document confirming that an agent can represent another individual in a medical facility.

Residents of South Carolina may use this type of form when a principal wants to create a back-up option regarding their treatment and have another individual be able to make specific choices concerning treatment.

In South Dakota, a South Dakota Medical Power of Attorney Form is created to act as confirmation that a principal has chosen themselves an agent.

This form gives a person in Utah the opportunity to select a medical representative that will be given rights concerning medical treatment and any relevant information that may be required after death.

Residents of Washington State may use this form to provide a person with the legal right to pick and use an agent that would be responsible for medical decisions.

This is a legal document used in West Virginia by an individual, allowing them to select a representative that would gain legal rights to represent them in a medical setting.

Residents of Wisconsin may use this type of form when a principal wants to create a back-up option regarding their treatment and have another individual be able to make specific choices concerning treatment.

This Form is used for creating a Restricted Power of Attorney in Maryland. It allows an individual to appoint someone else to make decisions on their behalf, but with specific limitations on their authority.

This form is used for creating an advance directive in Idaho, which allows individuals to specify their healthcare preferences in case they become unable to make decisions in the future. It helps ensure that their medical wishes are honored.

This document allows you to appoint someone to make medical decisions on your behalf in the state of Utah.

This form allows individuals in New York to designate a health care proxy in Arabic. It is used to ensure that their medical decisions are made according to their wishes if they become unable to communicate or make decisions themselves.

This document provides a template for crafting a letter regarding end-of-life care decisions, particularly for clarifying preferences and wishes about medical and care measures during terminal illness or nearing death situations.