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Statutory Durable Power of Attorney for Health Care - Kansas 2026

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The document is a Durable Power of Attorney for Health Care Decisions, allowing the principal to appoint an agent to make health care decisions on their behalf. It grants authority to consent or refuse medical treatment, manage health care arrangements, and access personal health information. The document includes limitations on the agent's authority, specifies its effective time, and outlines revocation procedures. It must be executed with witnesses or notarization.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your name and appointing an agent for health care decisions. Provide their name, address, and telephone number in the designated fields.
In the 'General Statement of Authority Granted' section, clearly outline the powers you are granting to your agent. This includes consent for medical treatments and access to health information.
If you have any special instructions or limitations regarding your agent's authority, include them in the specified area.
Indicate when this power of attorney becomes effective by selecting either option provided regarding disability or incapacity.
Complete the execution section by signing and dating the document. Ensure it is witnessed or notarized as required.

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