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A medical power of attorney, also known as an advanced directive or healthcare proxy, allows a person to choose someone to make healthcare decisions on their behalf. The person retains control of their own healthcare decisions until their attending physician determines they are unable to make decisions. This document is used in situations of incapacitation such as a coma, vegetative state, or mental condition impairing rational thinking. To be valid, the document must be signed according to state laws, usually with witnesses or a notary public present. The person must be 18 years or older and of sound mind to execute a valid medical power of attorney.