Durable Power of Attorney for Health Care - Indiana 2026

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  1. Click ‘Get Form’ to open the Durable Power of Attorney for Health Care - Indiana in the editor.
  2. Begin by filling in your name and address in the designated section to establish your identity as the principal.
  3. Designate your health care agent by entering their name, address, and phone number. Ensure this person is someone you trust and meets the eligibility criteria.
  4. In the 'General Statement of Authority Granted' section, review and confirm that your agent will have full power to make health care decisions on your behalf.
  5. If you have specific desires regarding treatment or limitations on your agent's authority, clearly state them in the 'Statement of Desires, Special Provisions, and Limitations' section.
  6. Complete any additional sections regarding inspection and disclosure of health information, signing documents, and designating alternate agents if necessary.
  7. Finally, date and sign the document. Ensure it is witnessed by two qualified adults who meet the requirements outlined in the form.

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(d) Except as provided in subsection (e), a document creating a power of attorney must comply with recording requirements, including notary and preparation statements, to be recorded under this section. (B) complies with IC 33-42; is attached to the original document or the copy.
If you do not appoint a health care representative and you do not disqualify someone from making health care decisions for you, then a spouse, either parent, an adult child, or an adult sibling related to you may be asked to make health care decisions for you if you are unable to do so for yourself.

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