Medical Power of Attorney Form

About this template

A Medical Power of Attorney Form is a document that gives authorization to an individual (agent) to make health decisions on behalf of the creator (principal) of the document. This legal document is used in times when the principal is incapable of making health decisions for themselves. Create a custom Medical Power of Attorney Form in seconds with Jotform’s easy-to-use form builder.

Making changes to this Medical Power of Attorney Form is easy. Use Jotform’s no-code builder to add signature fields, edit terms and conditions, include your own branding, change fonts and colors, and more. Share your form via email or embed it in a website to collect signatures fast. Once both parties have signed, a finalized PDF document will be automatically sent to your inbox — ready to share, download, or print for your records. If you’d like to save time by automating your workflow, do it with Jotform Sign’s powerful e-sign solution.

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These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.