INSTRUCTIONS FOR COMPLETING AUTHORIZATION ... - Home UW Health 2026

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This document is a legal advance directive for health care in Wisconsin, allowing individuals to appoint a health care agent to make medical decisions on their behalf if they become unable to do so. It outlines the authority of the agent, specifies limitations regarding mental health treatment, and provides sections for detailing personal health care preferences and instructions. The document emphasizes the importance of discussing these choices with the appointed agents and family members, and it includes steps for completing and maintaining the directive.

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Click ‘Get Form’ to open it in the editor.
Begin with Part 1, where you will name your health care agent. Ensure this person is someone you trust and can communicate your wishes effectively.
In Part 2, specify the general authority of your health care agent. You can draw a line through any actions you do not want them to take.
Proceed to Part 3 to outline your desires and care instructions. This section allows you to express specific preferences regarding medical treatments and comfort measures.
Finally, in Part 4, sign and date the document in front of two witnesses who meet the qualifications outlined in the form.

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2020	4.8 Satisfied (226 Votes)

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