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Click ‘Get Form’ to open the Durable Health Care Power of Attorney form in the editor.
Begin by filling in your name and county at the top of the form. This personalizes the document and establishes your identity.
Appoint a health care agent by providing their name, relationship, address, and contact information. Ensure this is someone you trust to make decisions on your behalf.
Specify any limitations on your health care agent's powers by crossing out any powers you do not wish to grant them.
In Part III, outline your health care treatment instructions. Clearly indicate your preferences regarding life-sustaining treatments and whether you want tube feedings.
Review all sections carefully to ensure that your wishes are accurately reflected. Make any necessary adjustments directly in the editor.
Sign the document and have it witnessed by two individuals who meet Pennsylvania's legal requirements. Optionally, consider notarization for added validity.
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52 Pa. Code 53.96 - Power of attorney form | State Regulations
(a) A power of attorney form shall be used to give authority to an attorney and agent to file tariffs and supplements, to authorize an agent to receive
Free Durable Power of Attorney | DocHub PDF | Word
A Durable Power of Attorney form gives your attorney-in-fact authority to make decisions related to financial matters, real estate matters and personalRead more
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