Medical Power of Attorney Form | Missouri

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Updated on May 9th, 2023

A Missouri medical power of attorney form grants a third party the authority to act as an individual’s healthcare agent to make all decisions regarding their healthcare if they become incapacitated. In the contract, the individual being represented (the principal) can stipulate whether the agent will be permitted to determine the use of certain life-sustaining medical treatments.

The “health directive” portion of the form is optional and can be used to specify any medical procedures that are to be withdrawn if the principal is in critical condition or has persistent unconsciousness. It is important to note that the agent cannot be the principal’s physician or anyone involved in their healthcare unless they are related by blood or members of the same precisely defined religious community.