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A medical power of attorney (often called an advanced directive or healthcare proxy) allows an individual to designate someone to make healthcare decisions on their behalf when they are unable to do so. The principal retains control over their healthcare decisions until a physician determines they lack the capacity to make those decisions. This document is useful in situations of incapacitation, such as coma or mental impairment. To be valid, it must be signed according to state laws, typically requiring witnesses or notarization. The principal must be at least 18 years old and of sound mind, which ensures they understand the implications of their decisions.