Medical Power of Attorney Connecticut Form – Advance Directive

License / Price: Free
Version: Fillable Adobe PDF (.pdf)
File size: 125 Kb
Use this Form to: Take care of another's health care decisions.
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The Connecticut medical power of attorney form, or Health Care Instructions and Advance Directive, is a legal document that provides an individual with the ability to select their healthcare representative while also providing directions in advance with regard to their end-of-life treatment. The representative will be required to ensure that all procedures are carried out in accordance with the patient’s wishes. More often than not, the agent will be a close family member or friend as they will be able to accurately anticipate the patient’s needs should they become incapacitated.

Laws – § 19a-577

Signing Requirements – Must be signed with at least two (2) witnesses present (§ 19a-575).

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