Colorado Medical Durable Power of Attorney Form

The Colorado Medical Durable Power of Attorney is used when you want to appoint an agent to make health care related decisions on your behalf when you are not capable of doing so yourself. A physician or a medical professional has to certify that you are not capable of making the decisions on yourself and only then can the agent make the decisions.

How to Fill the Colorado Medical Durable Power of Attorney Form

The form begins with the full and legal name of the principal or declarant (first, middle, last) followed by the full and legal name of the appointee / agent (first, middle, last), best contact number, email address or alternative contact number and complete address with the zip code certifying the appointment of the agent which authorizes the agent to take decisions related to the health of the principal without any limitations or restrictions, with or without any consultation from the physician or friends and family. If the primary agent due to any reason is unable or unavailable to act then in such cases the alternate agent takes their place, whose details need to be mentioned.

In the next section, when will the power of the attorney begin needs to be chosen from either immediately after the signature or when a qualified medical professional certifies that the principal is unable to take decisions for themselves. After that any special instructions for the agent which would help them in taking a decision in the best interest of the principal needs to be stated.

Lastly, the declarant needs to sign the document followed by the full name date and signature of all the agents need to be stated followed by the name, address and signature of two witnesses. Notarizing this document is optional but recommended.

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Colorado Medical Durable Power of Attorney Form

Preview Colorado Medical Durable Power of Attorney Form

Colorado Medical Durable Power of Attorney Form