Medical Power of Attorney Nebraska Form – PDF

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A Nebraska medical power of attorney form designates an individual (attorney-in-fact) to make health care decisions for a person (principal) if they become disabled or incapacitated in any way. Physicians and other professional health care workers cannot be appointed to this position (unless they are related); a principal typically chooses a close, trustworthy person such as a family member or friend.

A health care attorney-in-fact will have power over very important and possibly life-changing decisions, and they should share the same values regarding health care as the principal. Along with the medical power of attorney, the principal may wish to complete a Living Will Declaration Form (or simply a “living will”) to convey which treatments they do or do not want to receive in any given future medical situation.

Laws§ 30-3403

Signing Requirements – Notary Public or Two (2) Witnesses (§ 30-3404(5))