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Free Fillable Virginia Medical Power of Attorney Form

There is hardly anyone who can know what tomorrow will bring, so it is crucial always to prepare all vital documentation in advance. Thus, Virginia residents who want to ensure that their directions and wishes regarding their medical treatment are fulfilled resort to a Virginia medical power of attorney form. In brief, a medical proxy represents a legal paper that helps a person allocate a surrogate decision-maker to make tough calls concerning their wellbeing if they are no longer able to do it independently. Those who compose power of attorney form are called the principal or the grantor. The designated representative is mainly referred to as the agent or the attorney-in-fact.

A healthcare proxy is a rather powerful document, as it endows another person with full control over your life and medical assistance provided to you. It lets the selected agent take critical decisions concerning your health on your behalf if you are recognized as physically and/or intellectually incapacitated or are diagnosed with a terminal illness. The proxy can be canceled upon the grantor’s request – in writing and delivered by their patient advocate.

A medical power of attorney is often called an advance directive. Such a legal paper combines a proxy and a living will in Virginia, allowing the principal to decide on their end-of-life care preferences. Therefore, the appointed agent will have the authority to select your pharmacological therapy options and communicate your wishes to healthcare professionals if they are unsure of what actions to take.

Virginia power of attorney templates – click to get more Virginia-related power of attorney forms that you might use.

Virginia Requirements

Every healthcare power of attorney created by a citizen of Virginia should be composed in compliance with the Virginia Health Care Decisions Act to represent legally binding documentation.

The definition of a Virginia advance directive (§54.1-2982) implies that such a proxy must be drawn up by a declarant of legal age and a sound mind. As for the signing conditions (§54.1-2983), they outline that a couple of witnesses must be present to confirm the written proxy’s authenticity.

Filling out the Virginia Medical POA

In case you live in Virginia and are determined to create a medical POA but possess no previous experience in composing such a juridical document, feel free to use our high-end templates. They are of upscale quality and highly customizable, so you will complete such a form by yourself. Choose the most suitable format – .docx, .pdf, or .odt – download the sample and start filling out the proxy form.

The Parties Must Provide Their Details

According to the Virginia laws regarding healthcare power of attorney, the first participant of the contract to submit their personal and contact information is the grantor. Hence, the POA owner must provide their legal name, complete residential address (including ZIP code), last four digits of their SSN, telephone, mobile phone, and work phone numbers. It is also of utmost importance for all the parties to get familiar with the contract’s terms and conditions.

After that, the grantor should allocate the patient advocate in their Virginia medical power of attorney form. At this, it is crucial to enter the full name of the chosen agent, describe their relationship to the declarant, and provide the same contact information as the principal – mailing address and phone numbers.

Sometimes, the first-option private attorney cannot or will not carry out the directions and responsibilities given to them. Thus, it is possible to appoint an alternate attorney-in-fact. They will also have to indicate the same details as other participants.

The Principal Needs to Specify the Powers Granted

In this section, the grantor should define the scope of authority granted to their patient advocate. Keep in mind that the question of defining the powers guaranteed to the agent is of paramount importance, as you are entrusting your life to someone else. For example, if you don’t want to be fed using a tube (in the event of you being unable to eat by yourself), do not forget to mention it in your proxy. In general, it is at the declarant’s discretion what rights to present to the allocated private attorney and where to restrict them.

In most cases, the surrogate decision-maker is allowed to either agree to or deny specific medical services (like life-sustaining procedure) in the name of the principal.

The Medical Proxy Must be Signed

The grantor has to review the agreement before putting their signature on it. The same goes for all other participants.

Thus, if the completed healthcare POA corresponds to the principal’s wishes and instructions, they must sign the form and provide the signature date. The attorney-in-fact also needs to submit their signature and date it.

Once it is done, two witnesses, who were present during the declarant’s signing of the proxy, have to provide their names and signature.

Other Virginia Forms By Type

Other Medical Power of Attorney Forms By State