The West Virginia Medical Power Of Attorney And Living Will sanctions rights to take actions and decisions on behalf of the signing principle when the signing principle is unable to take decision due to terminal illness, persistent vegetative state, and any other unforeseen reasons. Rights of making decision granted through the power of attorney for medical treatment, nursing care, surgical treatment, hospitalization, medication, treatment and care in a nursing home as well as other facilities, and home health care.
It also entitles a right to a representative to access medical records of the signing principle. The representative signing the power of attorney undertakes to take action in line with the directives as well as limitations stated in the power of attorney and living will. Notarization of the power of attorney and living will is necessary for its legal standing. Submit duly completed power of attorney to WVe-Directive Registry, West Virginia.
How to Fill the West Virginia Medical Power of Attorney and Living Will
State Of West Virginia Combined Medical Power Of Attorney And Living Will is a three-page document consisting of the space to fill the details, guiding terms and conditions, and the notarization. Mark the box on the upper left in acceptance to submit the advance directive to WVe-Directive Registry on Fax number 844-616-1415. Fill in the name, address, date of birth, last four digits of the Social Security Number along with the gender on the upper right portion of page 1.
Mention date of execution of the power of attorney along with the name, and address of the signing principle in the box provided. Type the name, address, and phone number along with the area code of the representative under the appointment.
The next portion of the power of attorney and living will has space to appoint a successor representative in the event of unwillingness, inability, or disqualification of the representative. Write name of the successor representative along with address and phone number with area code.
Type the name of the signing principle on the foremost line on page 2. Governing instructions and directives are shown on page 2. Reading them thoroughly is very necessary before offering and taking up the power of attorney and living will.
Page 3 needs the input of instructions or other directives in the boxes provided. Sign in the space provided along with the date to grant rights to the representative. Two signatures of witnesses along with the date and the name of the state and county are required on acceptance of the undertaking in the next portion of page 3.
The later portion on page 3 is a space reserved for inking notarization details like the name of the Notary Public, name of the signing Principle, witnesses, date, and signature of the Notary Public along with the date of expiry of the commission.