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A medical power of attorney, also known as an advanced directive or healthcare proxy, allows someone to choose someone else to make healthcare decisions on their behalf. The principle retains control of their healthcare decisions until deemed incapacitated by their attending physician. This document must be signed in accordance with state laws, usually requiring witnesses or a notary public. The principle must be 18 years old, of sound mind, and capable of rational decision making. This is necessary in situations of incapacity such as coma, vegetative state, or mental impairment.