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Connecticut Medical Power of Attorney Form

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A Connecticut medical power of attorney, or ‘Appointment of Health Care Representative’, allows the ability to make health care decisions to an agent should the issuer become unable to do so due to trauma, unconsciousness, or some other condition that prevents the communication of health care wishes. This document is legal under state laws and it gives the representative the ability to make health care decisions for the individual based upon his or her living will if there is one, or their wishes as told to the representative. It is important that you inform the representative you appoint of your healthcare wishes.

Laws – C.G.S.A. § 19a-577


Durable (Financial) Power of Attorney – For monetary ($) reasons. Allows someone to appoint an individual to take care of their financial needs (e.g. paying taxes and bills, making deposits, etc.)

How to Write

Download: Adobe PDF

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