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North Carolina Medical Power of Attorney Form

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Updated April 22, 2025

A North Carolina medical power of attorney is a statutory form that allows a principal to appoint another person to make medical decisions on their behalf. This power only becomes available when the principal is no longer able to make health care decisions for themselves (i.e. incapacitated).

Definition

A health care power of attorney means a written instrument that appoints an attorney-in-fact or agent to act for the principal in matters relating to the health care of the principal.[1]

Is There a Statutory Form?

Yes – in North Carolina, the statutory form must be used for health care power of attorneys.[2]

Sample

Download: PDF

Sources

  1. § 32A-16(3)
  2. § 32A-25.1