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A medical power of attorney, also known as an advanced directive or healthcare proxy, allows an individual to designate someone else to make healthcare decisions on their behalf. The principal retains control over their healthcare decisions until a physician determines they are incapacitated, such as in cases of coma, vegetative state, or mental impairment. For the document to be valid, it must be signed according to state laws, typically requiring witnesses or a notary public. Additionally, the principal must be at least 18 years old and of sound mind, meaning they have the mental capacity to understand the decisions they are making.