Rhode Island Medical Power of Attorney Form

A Rhode Island medical power of attorney is a directive that gives health care decision-making powers to an agent ("attorney-in-fact"). The form is often combined with a living will to include instructions for end-of-life treatment options.

Updated April 22, 2025

Signing Requirements

Two witnesses or a notary public.^[1]

“Durable Power of Attorney for Health Care” Definition

A durable power of attorney for health care is a witnessed document giving authority to an agent to consent, to refuse to consent, or to withdraw consent to any care, treatment, service, or procedure to maintain, diagnose, or treat a physical or mental condition on the principal’s behalf.^[2][3]

Is There a Statutory Form?

Yes, the state of Rhode Island has a statutory form for health care power of attorney.^[3]

Sample

Download: PDF

Sources

§ 23-4.10-2
§ 23-4.10-1.1(5)
§ 23-4.10-2