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A medical power of attorney, also known as an advanced directive or healthcare proxy, allows someone to make healthcare decisions on behalf of another person (the principal) when the principal is unable to do so. The principal retains control over their healthcare decisions until a physician determines they lack the capacity to make those decisions, such as in cases of coma, vegetative state, or mental impairment. To be valid, the document must comply with state laws, which typically require signatures be witnessed or notarized. The principal must be at least 18 years old and of sound mind, meaning they understand the nature of their decisions at the time of signing.