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A medical power of attorney (sometimes called an advanced directive or healthcare proxy) is a legal document enabling a person to appoint someone else to make healthcare decisions on their behalf. The principal retains control over their healthcare choices until a physician determines they lack the capacity to decide. This document becomes relevant in situations of incapacitation, such as coma or mental impairment. To be valid, the medical power of attorney must comply with state laws, which generally require the signature to be witnessed or notarized. The principal must be at least 18 years old and of sound mind to execute a medical power of attorney.