HEALTH CARE POWER OF ATTORNEY
NOTE: YOU SHOULD USE THIS DOCUMENT TO NAME A PERSON AS YOUR HEALTH CARE
AGENT IF YOU ARE COMFORTABLE GIVING THAT PERSON BROAD AND SWEEPING POWERS
TO MAKE HEALTH CARE DECISIONS FOR YOU. THERE IS NO LEGAL REQUIREMENT THAT
ANYONE EXECUTE A HEALTH CARE POWER OF ATTORNEY.
EXPLANATION: You have the right to name someone to make health care decisions for you when you
cannot make or communicate those decisions. This form may be used to create a health care power of
attorney, and meets the requirements of North Carolina law. However, you are not required to use this
form, and North Carolina law allows the use of other forms that meet certain requirements. If you prepare
your own health care power of attorney, you should be very careful to make sure it is consistent with
North Carolina law.
This document gives the person you designate as your health care agent broad powers to make health
care decisions for you when you cannot make the decision yourself or cannot com