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Nebraska Medical Power of Attorney Form

A Nebraska medical power of attorney allows a person to appoint someone to make healthcare-related decisions on their behalf. The person should choose an agent who understands their wishes for treatment during medical events such as car accidents, surgery, or being rendered mentally disabled.
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Updated April 22, 2025

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“Power of Attorney for Health Care” Definition

“Power of attorney for health care” shall mean a power of attorney that authorizes a designated attorney in fact to make health care decisions for the principal when the principal is incapable.[2]

Is There a Statutory Form?

Yes, Nebraska has a statutory form that can be used.[3]

Sample

Download: PDF

Sources

  1. § 30-3404(5)
  2. § 30-3402(11)
  3. § 30-3408