Medical Power of Attorney Alaska Form – Adobe PDF

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Version: Adobe PDF (.pdf)
Use this Form to: Choose an Agent to act as their health care representative
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The Alaska medical power of attorney, also referred to as the “durable power of attorney for health care”, lets a person (“principal”) choose someone else (“agent”) to act for his or her best interest in making health care decisions when the principal cannot do so because of a mental condition. This form is commonly used among the elderly, high-risk diseases, and the terminally ill so that the families may be able to have clarity on the medical direction of someone by having one voice be the final decision-maker.

Laws – AS 13.52.010

Signing Requirements – Notary Public (AS 13.26.600)

The form must be completed before any type of tragedy should take place and be authorized by either two (2) non-blood related witnesses or a notary public.

The form also includes life-ending decisions in relation to organ donation, if life support should be an option, and who to select as the primary care physician during such an event.