Free power of attorney 46Free power of attorney 46Free power of attorney 46
Download the document to the computer for easy use
There are more pages to preview,Read on

Nebraska
Power of Attorney for Health Care
1. I appoint _______________________________________________, whose address is
_____________________________________________________________ and whose
telephone number is ___________________________ as my attorney-in-fact for health
care. I appoint ________________________________________, whose address is
__________________________________________, and whose telephone number is
_________________, as my successor attorney-in-fact for health care. I authorize my
attorney-in-fact appointed by this document to make health care decisions for me when I
am determined to be incapable of making my own health care decisions. I have read the
warning which accompanies this document and understand the consequences of executing
a power of attorney for health care.
2. I direct that my attorney-in-fact comply with the following instructions or limitations:
_________________________________________________________________________
_____________________________