Statutory Durable Power of Attorney for Health Care - Appointment of Health Care Agent and Health Care Instructions - Connecticut 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your name at the top of the document, clearly identifying yourself as the author of these health care instructions.
  3. In the section regarding your health care representative, appoint an individual by writing their name in the designated space. This person will make health care decisions on your behalf if you are unable to do so.
  4. Specify any limitations or preferences regarding life support systems in the appropriate section. Clearly state your wishes about withholding or withdrawing life support if you are terminally ill or permanently unconscious.
  5. Designate a conservator for future incapacity by filling in their name. If they are unable to serve, provide an alternative name.
  6. Complete the anatomical gift section by indicating whether you wish to donate any organs or parts and specify any limitations if applicable.
  7. Finally, ensure that you sign and date the document in front of witnesses who will also need to sign, confirming they observed you executing this document.

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A Durable Power of Attorney for Health Care is a document that lets you name someone else to make decisions about your health care in case you are not able to make those decisions yourself. It gives that person (called your agent) instructions about the kinds of medical treatment you want.
A healthcare proxy focuses on medical decisions, while a durable power of attorney may also handle certain financial decisions, like signing checks to cover medical expenses. Its crucial to choose someone you trust who is willing to carry out the principals wishes.
This form is usually called a medical power of attorney. Ask your hospital, state bar association, or office on aging where to find these forms. You must sign the form to make it legal. Some states require you to get the form docHubd.
A durable power of attorney for health care is a legal document that gives another person the authority to make a medical decision for an individual. The person named to represent the individual is referred to as an agent or attorney-in-fact.
The Difference Between the Two The main difference between the health care and durable power of attorney is their scope. A health care power of attorney only allows your agent to make medical decisions on your behalf, while a durable power of attorney grants your agent broader powers in financial and personal matters.

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To make your choice of health care agent official, youll need to make a durable power of attorney for health care (also called a medical power of attorney), which gives another person authority to make medical decisions for you if you are unable to speak for yourself.
A medical power of attorney, also called a durable power of attorney for health care, is a legal document. In it, you grant another person the authority to make medical decisions for you if you become unable to do so. The person you choose is your health care agent (health care proxy, health care surrogate).

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