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.
Durable power of attorney for health care michigan form.
Durable power of attorney for health care form author.
On this document you will put what you want the doctors to do for every scenario you can think of.
Probably the easiest way to talk about this is to cover the basics.
Anyone else who might need to know about your health care decisions for example a spouse a nursing home or a hospital.
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.
Durable power of attorney for health care.
This document is signed in the state of michigan.
The durable power of attorney for health care is about making decisions about your health care.
Adobe pdf ms word docx opendocument.
To change your durable power of attorney for health care fill out a.
You can mail the form to us at.
This type of contract either comes into effect immediately and endure after the principal s incapacitation or only upon a physician declaring that the.
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.
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.
Michigan has two kinds of advance directives.
It is different from the durable form in that it becomes void in the event you are determined to be incompetent.
Advance directives in the state of michigan.
Or fax it to 1 866 894 3101.
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.
Blue cross blue shield of michigan mail code 0400 600 e.