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A medical power of attorney (MPOA), also known as an advanced directive or healthcare proxy, allows an individual to appoint 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 do so, often due to incapacitation such as a coma or mental impairment. To ensure validity, the MPOA document must comply with state laws, typically requiring signatures to be witnessed or notarized. The principal must be at least 18 years old and of sound mind to execute a valid medical power of attorney.