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State of wi form doh 0085 1998-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your personal information in the 'Creation of Power of Attorney for Health Care' section. Fill in your name, address, and date of birth.
- Designate your health care agent by providing their name, address, and telephone number. If applicable, also designate an alternate health care agent.
- In the 'General Statement of Authority Granted' section, specify any limitations or special provisions regarding your health care decisions.
- Review the sections on mental health treatment and admission to facilities. Check 'Yes' or 'No' as appropriate based on your preferences.
- Complete the anatomical gifts section if you wish to make a donation upon death. Specify your wishes clearly.
- Finally, ensure all parties sign the document at the same time, including witnesses who meet the specified criteria.
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