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Title: Scanned Document
Bender noted the Durable Power of Attorney for Health Care and a Health Care Directive is available, in English and Spanish, at no charge to Missourians. The form, drafted by licensed Missouri lawyers, puts your decisions in writing and allows you to designate an agent to carry them out.
This Durable Power of Attorney is effective as to health care decision making when I am incapacitated and unable to make and communicate a health care decision as certified by (check one of the following boxes): one physician OR two physicians.
This Durable Power of Attorney is effective as to health care decision making when I am incapacitated and unable to make and communicate a health care decision as certified by (check one of the following boxes): one physician OR two physicians.
A Missouri durable power of attorney form is used to allow a representative (known as the ‘”attorney-in-fact”) to act on behalf of another individual (the principal) in financial matters, such as running their business, signing legal documents, paying bills, filing taxes, and managing assets.
A Missouri medical power of attorney is a form that allows a principal to assign a representative to make healthcare decisions if they cannot do so on their own.
STATE LAW: This Power of Attorney is governed by the laws of the State of Missouri. This is a durable power of attorney and the authority of my attorney shall not terminate if I become disabled or incapacitated or in the event of later uncertainty as to whether I am dead or alive.
This form has been prepared to comply with the “Durable Power of Attorney for Health Care Act” of Missouri. 1. Selection of Agent. I appoint: Name: ______________________________________ Address: ____________________________________ ____________________________________________ Telephone: ___________________________________. as my Agent.
A Missouri durable power of attorney form is used to allow a representative (known as the ‘”attorney-in-fact”) to act on behalf of another individual (the principal) in financial matters, such as running their business, signing legal documents, paying bills, filing taxes, and managing assets.
The proper signing of your Missouri Durable Power of Attorney for Health Care Decisions & Advance Health Care Directive in the presence of a notary public and two disinterested witnesses will be and is your responsibility .