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Washington Medical Power of Attorney Form

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The Washington health care power of attorney is a form that allows you to appoint a trusted friend or relative to make health care decisions and consult with your health care providers about your care in the unfortunate event that you no longer can communicate your own desires due to a physical or mental impairment. This is only in effect during the time you can’t communicate. If you regain your capacity, you will be able to make your own decisions.

DefinitionChapter 70.122.020

LawsChapter 70.120 – Advance Directive

Living Will – A declaration that sets a person’s rights to select their end of life treatment options, in reference to withdrawing life-sustaining procedures, if they should be in a permanently unconscious state. The Advance Directive may also be completed which combines both these forms.

Durable (Financial) Power of Attorney – This Power of Attorney document is employed to select an agent to oversee the Principal’s finances.

How to Write

Step 1 – Download the form and review it to make sure you understand how it works.

Step 2- Read the instructions, then in the space provided write in your name, and then your chosen agent’s name, address and phone number.

Step 3 – In the next section, fill in the names and addresses of alternate agent’s in the event your first agent is unavailable. This is optional.

Step 4 – On the second page, write in any special instructions that you want to convey to your agents.

Step 5 – Sign it and date it in front of a notary public licensed in Washington.

Step 6 – Make copies for your agents and health care providers.