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A medical power of attorney, also known as an advanced directive or healthcare proxy, allows an individual (the principal) to designate someone to make healthcare decisions on their behalf when they can no longer do so. The principal retains control over their healthcare decisions until a physician determines that they lack the capacity to make those decisions. This document may be needed in cases of incapacitation, such as a coma, vegetative state, or mental conditions that impair decision-making. To be valid, the document must comply with state laws, typically requiring it to be signed in the presence of witnesses or a notary public. The principal must be at least 18 years old and of sound mind to execute a medical power of attorney.