Medical Power of Attorney Form | Wisconsin

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Updated on May 11th, 2023

A Wisconsin medical power of attorney form allows for the designation of a surrogate to make healthcare decisions for someone else, the “principal,” in the chance that they become incapacitated. The person chosen, called an “agent,” shall be responsible for making any and all healthcare decisions and facility options with the principal’s best interests in mind. When selecting an agent, the principal may not choose an individual who is involved in providing their healthcare, or a spouse of someone who provides their healthcare, unless the individual is related to the principal.


Declaration to Physicians (Living Will) – Used to give strict instructions about one’s end-of-life treatment options to medical staff without the use of an agent.