Medical Power of Attorney West Virginia Form – PDF

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A West Virginia medical power of attorney form is part of an Advance Directive which consists of both a medical power of attorney and a living will. With the medical power of attorney, the principal appoints an agent who will make all their health care decisions when they are incapacitated and cannot do so on their own. Most people choose a relative, spouse, or close friend as their agent. However, the agent cannot be an individual involved in providing the principal’s health care, unless they are related. With the living will, the principal establishes their requests for various life-extending or terminating treatments.

Laws – Chapter 16, Article 30 (West Virginia Health Care Decisions Act)

Signing Requirements (§ 16-30-4(a)) – Notary Public and Two (2) Adult Witnesses.