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A medical power of attorney (also known as an advanced directive or healthcare proxy) is a legal document that allows an individual (the principal) to designate someone else to make healthcare decisions on their behalf. The principal retains control over their healthcare decisions until a physician determines they lack the capacity to make those decisions due to incapacitation, such as a coma, vegetative state, or mental impairment. To be valid, the medical power of attorney must comply with state laws, which typically require it to be signed in front of witnesses or a notary public. The principal must be at least 18 years old and of sound mind to execute this document.