Free Fillable Colorado Medical Power of Attorney Form

Filling out the Colorado Medical POA Form

You can fill your Colorado medical POA form in the following easy steps:

1. Start by accessing it on this website in a PDF format and then saving it to your device.
2. Identify yourself as a would-be principal in Colorado. You should print your name on the form and declare that you appoint so and so to act as your medical power of attorney.
3. Identify your preferred agent as the recipient of your directives regarding your health.
4. Give all the necessary details regarding your chosen agent. You must provide their contact details, such as telephone number or email address.
5. Provide your agent’s alternative contact details. For example, you must give their other email address or phone number for easier access.
6. Provide your agent’s registered physical address. The details should include an appropriate street and house number.
7. Provide an alternative agent as a secure backup. The reason is that your chosen agent could be unavailable during an emergency. Thus, name someone who should stand in for them during their absence. Remember, the alternative agent isn’t a “co-agent.” Instead, they only act when your preferred agent is unavailable, fired, or has resigned. So, provide their full details the same way you did for your primary agent.
8. Just like with your primary agent, supply your standby agent’s contact details for easy access.
9. Provide your alternative agent’s alternative contact details like telephone number or email address.
10. Indicate your standby agent’s physical address the way you did for your primary one.
11. Designate your standby agent, but first, confirm that the primary one is willing to and can represent you.
12. Present your second substitute agent’s phone number.
13. Report your substitute agent’s other email address or phone number for easier communication.
14. Record your substitute agent’s home address.
15. Determine and qualify your agent’s scope of authority.
16. Clearly and broadly state how you prefer your agent to handle your health. You may state whether or not you want doctors to use some resuscitation or pain management methods when you’re in a critical health condition.
17. Officially execute your agent’s appointment by signing and dating the document before two witnesses or a notary public.
18. Add other signatures to fortify your paperwork if you wish.
19. Get your primary agent to sign a power of attorney.
20. Verify your signatures before releasing the document to the signature witnesses.
21. Utilize witnesses’ testimonials to verify your signature.
22. Notarize your signature to verify this document. The notary public will direct you on how to proceed before signing and sealing the document.