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A medical power of attorney (also known as an advanced directive or healthcare proxy) is a form that designates someone to make healthcare decisions for a person (the principal) if they are unable to do so. The principal retains control over their healthcare decisions until a physician determines that they lack the capacity to make those decisions, such as in cases of coma or mental impairment. To be valid, the document must be signed according to state laws, which typically require witnesses or a notary public. Additionally, the principal must be at least 18 years old and of sound mind to execute a valid medical power of attorney.