Medical Power of Attorney Wisconsin Form – PDF

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A Wisconsin medical power of attorney form allows for the designation of a surrogate to make health care 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 health care 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 health care, or a spouse of someone who provides their health care, unless the individual is related to the principal.

Laws Chapter 155 (Power of Attorney for Health Care)

Signing Requirements (§ 155.10(1)(c)) – Two (2) Adult Witnesses.

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.