Free Fillable Massachusetts Medical Power of Attorney Form

A medical power of attorney is a crucial legal instrument allowing one person (often, the principal or the grantor) to assign another person (the agent or the attorney-in-fact) as their legal representative with the right to take vital health-involved decisions on their behalf. So, those residing in the state of Massachusetts may use a Massachusetts medical power of attorney form to allocate a trusted friend or a family member as their agent, letting them make tough calls concerning their wellbeing and medical treatment in general. Because the power of attorney form affects not only the life of the grantor but also their relationships with relatives and friends, their primary physician’s involvement would be beneficial to the case.

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Before signing a healthcare proxy, all the participants of such a contract must carefully read its contents. If something looks confusing, the medical POA initiator may address a lawyer for proper consultation on this topic. All in all, an advance directive can come in handy in the event of you becoming disabled or diagnosed with a terminal illness, when you lose your ability to express your wishes to your healthcare personnel.

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Filling out the Massachusetts Medical POA

Certainly, not everyone in the Massachusetts State knows a lot about such a legal instrument as the proxy. Considering this fact, we decided to offer every interested citizen of this state a high-class customizable Massachusetts medical power of attorney form to make it easier for you. Our high-end samples are available in such formats as .doc (.docx), .odt, and .pdf.

Indicate the Principal’s and the Agent’s Information

In the opening statement of this document, the grantor will specify who they want to make tough medical calls in their name. After this, the creator of the healthcare POA must give their full legal name and full home address, entering the same information featured on their ID card.

Once it is done, the principal should name the attorney-in-fact they will present with crucial duties. Here, it is vital to indicate the full name of the designated private attorney. Their address of residence (including state, city, and ZIP code) should also be mentioned.

The next field is allocated for entering the cell phone and telephone numbers and electronic address of the patient advocate.

Sometimes, the principal wants to be 100% sure that the wishes and directions they give in their advance directive will be fully met irrespective of the ability of their “first choice.” In such a case, they may appoint an alternate healthcare agent who will take on the private attorney’s responsibility if the primary patient advocate becomes unavailable. Their full name, complete residential address, and mobile phone number have to be presented as well.

Name the Duties and Limitations

In the next part of the paperwork, the grantor can specify the powers transferred to the attorney-in-fact, along with certain restrictions and/or additional rights and duties. Be precise with your instructions and clearly put everything you want into words.

Verify the Proxy by Signatures

By analogy with every vital legal instrument, a medical POA in Massachusetts requires its creator’s signature and the date when they sign the document.

Nonetheless, the grantor is not the only person who should put their signature on this legal paper, as a couple of adult witnesses must validate its signing. These people have to enter their names, signatures, and date of the signatures into the specifically designated blank. Additionally, they will be required to provide their residential address.

After this, every selected patient advocate must acknowledge the agreement by signing it. The state notary will be the last person to validate a medical power of attorney using their name, signature, and seal.

Massachusetts Requirements

Every medical proxy should be drawn up under Massachusetts state legislation (Health Care Proxies (Ch. 201D)) for it to become legally recognized in the future. When it comes to the signing conditions (Chapter 201D, Section 2), they are as follows: any Massachusetts healthcare POA must be signed by its owner in the presence of a couple of witnesses. They also should put their signatures on this juridical document.

Additional Information: Before signing the proxy alongside the agent, the principal should make sure their agent has a thorough understanding of the duties and responsibilities required of them per as well as important information in how they can use the proxy, which includes:

Before verifying a medical power of attorney, the grantor should ensure that the allocated patient advocate clearly understands the responsibilities assigned to them under the Mass. Section 5, Chapter 201D, alongside the scope of their authority.

Such a proxy type grants the agent opportunity to inquire and obtain all necessary medical information about the principal’s health condition. At this, medical institutions are obliged by law to regard the agent’s words and decisions as though the declarant provided them.

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