Forms allegheny bar 2026

The document is an Advance Health Care Directive that includes a Durable Health Care Power of Attorney and Health Care Treatment Instructions (Living Will). It allows individuals to appoint a health care agent to make medical decisions on their behalf when they are unable to do so. The directive outlines the powers granted to the agent, provides instructions for end-stage medical conditions or permanent unconsciousness, and includes options regarding aggressive medical treatment, tube feeding, organ donation, and legal protections for the agent and health care providers.

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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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