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Click ‘Get Form’ to open it in the editor.
Begin by filling in your name and county in the designated fields for the Health Care Power of Attorney section. This identifies you as the principal.
Appoint your health care agent by entering their name, relationship, and contact information. Ensure that this person is not your doctor unless they are related to you.
If necessary, list alternative agents in order of preference. This provides backup options should your primary agent be unavailable.
Review the powers granted to your health care agent. Cross out any powers you do not wish to grant.
In the treatment instructions section, indicate your preferences regarding aggressive medical care by initialing your choices clearly.
Complete the organ donation section by indicating whether you consent or do not consent to organ donation at death.
Finally, sign and date the document in front of two witnesses who meet legal requirements, ensuring they also sign.

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Microsoft Word doesn’t have signing tools to create valid electronic signatures and enforceable paperwork. Fortunately, DocHub is an online eSignature-compliant editor that supports different document formats, including .doc files. Log in to your account and upload the Word version of your forms allegheny bar from your device and cloud, or URL - our editor will automatically transform it into an editable PDF. Make all necessary alterations in your document and click Sign to create your own legally-binding electronic signature. You will find four signing options from which to choose.

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