Va form 10 0137-2025

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VA makes financial planning and online will preparation services available at no cost to beneficiaries of: SGLI (Servicemembers Group Life Insurance)
PART V: SIGNATURE AND SEAL OF NOTARY PUBLIC (Optional) This VA Advance Directive form is valid in VA facilities without being notarized.
VA Form 10-0137A Use this form to learn about your rights to accept or refuse medical treatment, and to complete a power of attorney for health care or a living will.
The Department of Veterans Affairs (VA) has an advance directive form that combines a living will and a durable power of attorney. This form is accepted at all VA health care facilities and at most non-VA facilities as well (although rules on their enforceability may vary from state to state).
A living will provides clear medical directives, while a power of attorney grants broader decision-making authority to a trusted agent. Both documents complement each other, offering comprehensive coverage for medical, financial, and legal decisions.
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If you dont choose a Health Care Agent to be your surrogate and you lose the ability to make decisions for yourself, your surrogate will be identified from this list, in the following order of priority: legal guardian (if you have one), spouse, adult child, parent, sibling, grandparent, grandchild, or a close friend.
Use VA Form 10-0137 to give specific people permission to make health care decisions for you, and to let VA health care providers know your wishes for medical, mental health, long-term, and other types of care.
To create a valid POA in Virginia, the document must be signed and notarized by the principal. If the agent is authorized to handle real estate transactions, the POA may also need to meet additional recording requirements with the county clerk.

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