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Document Overview:

The Medical Durable Power of Attorney is meticulously crafted to provide individuals with a robust and legally sound template for designating a Patient Advocate to manage their healthcare decisions. This document is compliant with Michigan laws and is designed to cover a broad range of authorities, ensuring that the principal’s healthcare preferences are honored. It is an essential tool for anyone seeking to ensure their medical care is handled according to their wishes, especially in situations where they may be incapacitated or otherwise unable to make decisions.


Benefit of Purchasing this Customizable Template:

By purchasing this customizable template, you get the benefit of a comprehensive and adaptable Medical Durable Power of Attorney document that ensures full compliance with all relevant laws. This helps save money and provides peace of mind, knowing that your healthcare decisions will be managed effectively and according to your instructions.


What the Medical Durable Power of Attorney Document Includes:


  • Overview & Guide – Medical Durable Power of Attorney: A concise guide to understanding and effectively utilizing the Medical Durable Power of Attorney document, ensuring all necessary steps are followed for a legally valid appointment of a Patient Advocate.

Patient Advocate Designation:

  • Designation of Patient Advocate: Clear sections to identify the principal and the appointed Patient Advocate, including contact information.
  • Designation of Successor Patient Advocate(s) (Optional): Provision to name successor advocates in case the primary advocate is unable or unwilling to act.

Grant of Authority:

  • General Grant of Healthcare Authority: Allows the principal to grant general healthcare decision-making authority to the Patient Advocate.
  • Additional Powers of Patient Advocate: Provides options for additional authorities such as funeral representation, anatomical gifts, access to medical information, and more.

Healthcare-Related Powers:

  • General Grant of Power: Empowers the Patient Advocate to make a wide range of healthcare decisions on behalf of the principal.
  • Access to Medical and Personal Information: Authorizes the Patient Advocate to access the principal’s medical and other personal information.
  • Employ and Discharge Healthcare Providers: Allows the Patient Advocate to hire and fire healthcare providers as necessary.
  • Consent or Refuse Consent to Medical and Mental Health Treatment: Enables the Patient Advocate to consent to or refuse medical and mental health treatments.
  • Protect Privacy and Provide Pain Relief: Ensures the Patient Advocate can take necessary steps to protect the principal’s privacy and provide relief from pain.

Healthcare Declaration:

  • Healthcare Declaration: Detailed sections for the principal to declare their healthcare preferences and instructions to the Patient Advocate.

HIPAA Release Authority:

  • HIPAA Release Authority: Grants the Patient Advocate authority to access the principal’s health information in compliance with HIPAA regulations.

Third-Party Reliance:

  • Third-Party Reliance: Provides assurances for third parties that rely on the decisions made by the Patient Advocate.

Disability of Principal:

  • Disability of Principal: Addresses the principal’s disability status and the impact on the Patient Advocate’s authority.

Additional Provisions:

  • Additional Provisions: Sections for any other specific instructions or provisions the principal wishes to include.

Nomination of Successor Patient Advocates:

  • Nomination of Successor Patient Advocates: Allows the principal to nominate individuals to serve as successor Patient Advocates if necessary.

Signatures and Acknowledgments:

  • Signatures: Detailed instructions for the principal’s signature, witnesses, and notary public acknowledgment to ensure validity.
  • Certification & Acknowledgement of Acceptance as Patient Advocate: A section for the Patient Advocate to formally accept their designation and acknowledge their duties.


Who Can Benefit:

This Medical Durable Power of Attorney document is ideally suited for individuals seeking a comprehensive and legally compliant method to delegate healthcare decision-making. It is particularly beneficial for those who wish to ensure their medical care is managed according to their preferences in case of incapacity. Legal and healthcare advisors can also utilize this template to provide their clients with a robust and customizable healthcare management tool.


Key Features:

  • Comprehensive Coverage: Addresses all necessary aspects of healthcare management, from designating a Patient Advocate to specific powers and limitations.
  • User-Friendly: Designed for ease of use, allowing individuals with minimal legal knowledge to create a valid and effective Medical Durable Power of Attorney.
  • Cost-Effective: Provides an affordable solution for essential healthcare documentation, saving costs on legal consultations.


Seize the Opportunity:

Secure your healthcare future and ensure your medical decisions are managed according to your wishes with the Medical Durable Power of Attorney. This essential, reliable, and easy-to-use document ensures peace of mind and legal protection.

Medical Durable Power of Attorney

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    The House of Law, P.C.


    Effective Date: Date of Purchase


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