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Mississippi Durable Power of Attorney for Health Care Form


Mississippi Durable Power of Attorney for Health Care Form
Mississippi Durable Power of Attorney for Health Care Form
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Mississippi Durable Power of Attorney for Health Care
Will to Live Form
NOTICE TO PERSON EXECUTING THIS DOCUMENT
This is an important legal document. Before executing this document you should know
these important facts:
This document gives the person you designate as the attorney in fact (your agent)
the power to make health care decisions for you. This power exists only as to those
health care decisions to which you are unable to give informed consent. The
attorney in fact must act consistently with your desires as stated in this document or
otherwise made known.
Except as you otherwise specify in this document, this document gives your agent
the power to consent to your doctor not giving treatment or stopping treatment
necessary to keep you alive.
Notwithstanding this document, you have the right to make medical and other
health care decisions for yourself so long as you can give informed consent with
respect to the particular decision. In addition, no treatment may be given to you
over your objection at the time, and health care necessary to keep you alive may not
be stopped or withheld if you object at the time.
This document gives your agent authority to consent, to refuse to consent, or to
withdraw consent to any care, treatment, service, or procedure to maintain,
diagnose, or treat a physical or mental condition. This power is subject to any
statement of your desires and any limitations that you include in this document.
You may state in this document any types of treatment that you do not desire. In
addition, a court can take away the power of your agent to make health care
decisions for you if your agent (a) authorizes anything is illegal, (b) acts contrary to
your known desires, or (c) where your desires are not known, does anything that is
clearly contrary to your best interests.
You have the right to revoke the authority of your agent by notifying your agent or
your treating doctor, hospital, or other health care provider orally or in writing of
the revocation.
Your agent has the right to examine your medical records and to consent to their
disclosure unless you limit this right in this document.
Unless you otherwise specify in this document, this document gives your agent the
power after you die to (a) authorize an autopsy, (b) donate your body or parts
Mississippi Durable Power of Attorney for Health Care Form
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