Power of Attorney for Health Care

The Power of Attorney for Healthcare forms below are legal documents developed to meet the legal requirements for the State of Wisconsin. It may not satisfy the legal requirements in other states.

This Power of Attorney for Healthcare form allows you to appoint another person to make healthcare decisions if you become unable to make these decisions for yourself. The person you appoint is your healthcare agent. This document gives your healthcare agent authority to make healthcare decisions on your behalf only when you have been determined by your physician(s) to be incapable of making your own healthcare decisions. This document does not give your healthcare agent any authority to make your financial or other business decisions. In addition, it does not give your healthcare agent authority to make certain decisions about your mental health treatment.

Before completing this Power of Attorney for Health Care form, take time to read it carefully. It is also important that you discuss your views, values and this document with your healthcare agent. If you do not closely involve your health \care agent, your views and values may not be fully respected because they will not be understood.

Click on the links below to download, print or view.

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