DURABLE POWER OF ATTORNEY FOR HEALTH CARE
Notice to Person Executing This Document
This is an important legal document. Before executing this document you should know these facts:
This document gives the person you designate as your Health Care Agent the power to make MOST health care decisions
for you if you lose the capability to make informed health care decisions for yourself. This power is effective only when
you lose the capacity to make informed health care decisions for yourself. As long as you have the capacity to make
informed health care decisions for yourself, you retain the right to make all medical and other health care decisions.
You may include specific limitations in this document on the authority of the Health Care Agent to make health care
decisions for you.
Subject to any specific limitations you include in this document, if you do lose the capacity to make an informed
decision on a health care matter, the Health Care Agent GENERALLY will be author