This type of contract either comes into effect immediately and endure after the principal s incapacitation or only upon a physician declaring that the.
Durable power of attorney for health care michigan form.
Advance directives in the state of michigan.
To change your durable power of attorney for health care fill out a.
This document is signed in the state of michigan.
Michigan has two kinds of advance directives.
Blue cross blue shield of michigan mail code 0400 600 e.
The michigan durable power of attorney form allows an individual known as the principal to choose a representative to make any type of financial decisions and actions on their behalf.
Anyone else who might need to know about your health care decisions for example a spouse a nursing home or a hospital.
Durable power of attorney for health care form author.
Adobe pdf ms word docx opendocument.
General power of attorney if you need someone to represent your general financial interests but you do not want the power to continue beyond when you have the sound mind to revoke it you should use this form.
One is the durable power of attorney for healthcare dpoa hc which can be used in both inpatient and ambulatory care settings within the university of michigan hospitals and health centers.
The principal and their patient advocate should share similar values as to health care and the advocate should be able to comfortably fulfill the principal s requests when the time comes.
It is my intent that the laws of the state of michigan govern all questions concerning its validity the construction of its provisions and its.
You can mail the form to us at.
Probably the easiest way to talk about this is to cover the basics.
During the many years of debate over this law right to life of michigan took a strong position in defense of patients rights.
The document is called a durable power of attorney for health care dpoa hc.
The michigan medical power of attorney form is used to designate a patient advocate to make all health care decisions for the principal if they become incapacitated due to illness old age or injury.
Or fax it to 1 866 894 3101.
On this document you will put what you want the doctors to do for every scenario you can think of.