This is a Michigan Medical Power of Attorney Form which is used to create a durable power of attorney related to healthcare decisions in the state of Michigan. You can use this power-of-attorney to appoint someone as it your patient advocate who will take medical decisions on your behalf.
How to complete this Michigan Medical Power of Attorney Form?
In the first section you must enter the details related to you and the person whom you are appointing as your patient advocate. You must also provide the patient advocates address. As your attorney-in-fact (patient advocate) he or she is granted powers to exercise in your name and for your benefit related to; making decisions regarding your health care, custody and medical treatment. Do note that this power of attorney only comes into effect if you are unable to take treatment decisions on your own stock
If the first individual whom you are appointing as your patient advocate is unwilling or cannot serve then you can appoint another person as your successor patient advocate. In the next section you must select the specific powers that you wish to grant to your patient advocate. To read these powers very carefully as they form a very important part of this Michigan Medical Power of Attorney Form. If any of the given powers to not apply to the power of attorney that you are creating you can cross them out and place your initials next to them and fill in the powers that you wish to grant in the blank space provided for it below.
This document will be considered as a durable power of attorney and will continue to remain in effect even if you are disabled or incapacitated. Since this document is being created in the state of Michigan will govern all questions related to its validity.
You the principal must date and sign in the proper space is provided for it on this document. At the time of signing this document must also be witnessed by two adult witnesses. The witness must be a non biased party and cannot be related to either the principal or the patient advocate. You can download this Michigan Medical Power of Attorney Form by clicking on the download link below