North Carolina Durable Power of Attorney For Health Care

North Carolina Durable Power of Attorney For Health Care

View Form Preview

NORTH CAROLINA DURABLE POWER OF ATTORNEY FOR HEALTH CARE

[PRINT YOUR NAME AND ADDRESS]

1. Designation of Health Care Agent.

I, ____________________ (name)

of  ____________________ (address)

[PRINT NAME AND ADDRESS OF YOUR AGENT]

do hereby designate and appoint ____________________(name of agent)

_______________________________(address and telephone number of agent)

as my attorney in fact (agent) to make health care decisions for me as authorized in this document. For the purposes of this document, "health care decision" means consent, refusal of consent, or withdrawal of consent to any care, treatment, service, or procedure to maintain, diagnose, or treat an individual's physical or mental condition. 

Files:

You must log in to download the form. If you don't have an account, you can sign up for free.

Comments

When a loved one becomes ill,

Submitted by JosephHowell on

When a loved one becomes ill, it becomes increasingly difficult for them to handle their affairs and manage their health. A family member can help and take over as a power of attorney to help making decisions.

Our resource on becoming a legal guardian will help explain what you will need to do to become the legal care taker for your family member.

http://www.kirkkirklaw.com/legal-resources/how-do-you-become-legal-guard...