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Except to the extent you state otherwise, this document gives the person you name as your agent the authority to make any and all health care decisions for you in accordance with your wishes, including your religious and moral beliefs, when you are no longer capable of making them yourself.
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You should select someone you trust to serve as your agent.
This power of attorney becomes effective immediately unless you state otherwise in the Special Instructions.
If you have questions about the power of attorney or the authority you are giving your agent, you should seek legal advice before signing this form.
Power of Attorney forms are not filed with a court; however, it is very important to keep the form in a secure place where it will not be damaged. Additionally, it is very important that all people involved with the power of attorney form are aware of the location of the form for future reference.
Paying Your Agent(s)
Your agent is entitled to be reasonably paid for his or her services unless you state otherwise in the Special Instructions.
Selecting More Than One Agent
This form provides for naming one agent. If you wish to name more than one agent you may name a coagent in the Special Instructions. Coagents are not required to act together unless you include that requirement in the Special Instructions. If your agent is unable to act for you, your power of attorney will end unless you have named a successor agent (a replacement). You may also name a second successor (replacement) agent.
Revoking a Power of Attorney
Unless you say otherwise, the agent's authority will continue until you die or revoke the power of attorney, or the agent resigns or is unable to act for you. This form will not revoke or cancel a power of attorney previously signed by you unless you add that the previous power of attorney is revoked by this power of attorney. Additional information regarding revoking (canceling) a power of attorney.
Research shows that you are more likely to get the care you want if you have conversations about your future medical treatment and put a plan in place. It may also help your loved ones grieve more easily and feel less burden, guilt, and depression.
Advance care planning involves discussing and preparing for future decisions about your medical care if you become seriously ill or unable to communicate your wishes. Having meaningful conversations with your loved ones is the most important part of advance care planning. Many people also choose to put their preferences in writing by completing legal documents called advance directives.
Think of your advance directives as living documents that you review at least once each year and update if a major life event occurs such as retirement, moving out of state, or a significant change in your health.
Advance care planning is not just for people who are very old or ill. At any age, a medical crisis could leave you unable to communicate your own health care decisions. Planning now for your future health care can help ensure you get the medical care you want and that someone you trust will be there to make decisions for you.
An advance directive is legally recognized but not legally binding. This means that your health care provider and proxy will do their best to respect your advance directives, but there may be circumstances in which they cannot follow your wishes exactly. For example, you may be in a complex medical situation where it is unclear what you would want. This is another key reason why having conversations about your preferences is so important. Talking with your loved ones ahead of time may help them better navigate unanticipated issues.
You might want to prepare documents to express your wishes about a single medical issue or something else not already covered in your advance directives, such as an emergency. For these types of situations, you can talk with a doctor about establishing the following orders:
Everyone approaches the process differently. Remember to be flexible and take it one step at a time. Start small. For example, try simply talking with your loved ones about what you appreciate and enjoy most about life. Your values, treatment preferences, and even the people you involve in your plan may change over time. The most important part is to start the conversation.
You can establish your advance directives for little or no cost. Many states have their own forms that you can access and complete for free. Here are some ways you might find free advance directive forms in your state:
Not necessarily. A lawyer can help but is not required to create your advance directives. However, if you have a lawyer, you should give them a copy of your advance directive. If you need help with planning, contact your local Area Agency on Aging. Other possible sources of legal assistance and referral include state legal aid offices, state bar associations, and local nonprofit agencies, foundations, and social service agencies.
There are also organizations that enable you to create, download, and print your forms online, but they may charge fees. Before you pay, remember there are several ways to get your forms for free. Some free online resources include:
If you've made an advance directive, you should consider carrying a wallet card saying so. The Office of the Attorney General has developed a wallet card for your use. This card alerts healthcare workers that you have an advance directive and provides contact names and numbers. Simply print, then fill out the card and carry it in your wallet (click here for a printer-friendly version of the card).
Health Care Agent. Someone you name to make decisions about your health care is called a health care agent" (sometimes also called a durable power of attorney for health care," but, unlike other powers of attorney, this is not about money). You can name a family member or someone else. This person has the authority to see that doctors and other health care providers give you the type of care you want, and that they do not give you treatment against your wishes. Pick someone you trust to make these kinds of serious decisions and talk to this person, to make sure they understand and is willing to accept this responsibility.
Health Care Instructions. You can let providers know what treatments you want to have or don't want to have. (Sometimes this is called a living will," but it has nothing to do with an ordinary will about property.) Examples of the types of treatment you might decide about are:
Ask your doctor for more information about these treatments. Think about how, if you become badly injured or seriously ill, treatments like these fit in with your goals, beliefs, and values.
There are many places to get forms, including medical, religious, aging assistance, and legal organizations. Three places are shown below, but these are just examples. Any of these forms are valid in Maryland, but not all may be in keeping with your beliefs and values. Your advance directive does not have to be on any particular form. There are many places to get forms, including medical, religious, aging assistance, and legal organizations. Three places are shown below, but these are just examples. Any of these forms are valid in Maryland, but not all may be in keeping with your beliefs and values. Your advance directive does not have to be on any particular form.
In a medical emergency, patients need the chance to pick their preferred treatments. But incapacitation and unconsciousness can keep you from acting as your own self-advocate. In times like these, you need a reliable medical proxy to work on your behalf. For that, you need to fill out a healthcare power of attorney form.
Appointing a healthcare power of attorney helps ensure that providers offer your preferred treatments. To help you along, we'll explain a medical power of attorney's definition, capabilities, and legal considerations.
Your healthcare agent is a person you trust with decision-making authority over your medical care. You want an agent who will always act in your interest. Choosing a reliable agent is crucial, and you should think carefully about a few people in your life who could assume this responsibility.
To help your agent make the right calls, consider writing an estate plan, such as a living will, or adding preferred treatments to your agreement. Stating what you would like simplifies crucial decision-making and avoids confusion in the event that you are incapacitated.
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You aren't limited to only one power of attorney at a time. You can appoint multiple agents for different purposes or write multiple agreements of the same type. In the agreement, you can stipulate whether:
Remember that more agents aren't always more efficient. For example, if the agent disagrees with a medical choice, such as whether you want want to receive cardiopulmanory resuscitation (CPR), that can slow potentially life-saving decisions.
After appointing an agent, he or she can generally refuse to make choices on your behalf. Alternatively, your agent may make decisions you don't necessarily want. To avoid disagreements, make sure your agent understands your wishes and can handle the pressure. While there are exceptions, in most cases, an agent isn't liable for making medical decisions the principal doesn't agree with.
The best medical proxies understand your wishes and will act on them. Choose a trusted friend or family member who's up to the challenges this role brings. Explain what goes into the agreement and ensure that the person understands it before proceeding.
The more details you provide, the easier your agent's job becomes. Ironclad legal documents help ensure all your medical wishes are granted. While this process can be done on your own, using a service or hiring an experienced attorney ensures that the agreement will hold up if need be. 152ee80cbc