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A medical power of attorney, 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 make those decisions. This document is used during incapacitating events such as a coma, vegetative state, or mental impairment. To be valid, it must be signed according to state laws, which typically require witnesses or a notary public. The principal must be at least 18 years old and of sound mind, meaning they understand the implications of the decisions they are making.