Attorney-Verified Medical Power of Attorney Form for the State of Oklahoma Create This Medical Power of Attorney Now

Attorney-Verified Medical Power of Attorney Form for the State of Oklahoma

The Oklahoma Medical Power of Attorney form is a legal document that allows individuals to designate someone they trust to make healthcare decisions on their behalf in the event they become unable to do so. This form ensures that a person's medical preferences are respected and followed, even when they cannot communicate them directly. Understanding its importance can help individuals plan for their future healthcare needs effectively.

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The Oklahoma Medical Power of Attorney form is an essential legal document that empowers individuals to make critical healthcare decisions on behalf of another person when they are unable to do so themselves. This form allows a designated agent, often a trusted family member or friend, to act in the best interest of the individual, ensuring that their medical preferences and values are respected. Key aspects of the form include the appointment of the agent, specific healthcare instructions, and provisions for end-of-life care. It is important for individuals to clearly outline their wishes regarding medical treatments, including life-sustaining measures, to guide their agent in making informed decisions. Additionally, the form must be signed and witnessed according to Oklahoma law to ensure its validity. By having a Medical Power of Attorney in place, individuals can gain peace of mind, knowing that their healthcare choices will be honored, even when they cannot communicate them directly.

Sample - Oklahoma Medical Power of Attorney Form

Oklahoma Medical Power of Attorney

This Medical Power of Attorney is a legal document that grants an individual the authority to make healthcare decisions on behalf of the person creating the document, referred to as the Principal, in accordance with the Oklahoma Durable Power of Attorney Act (Title 58, Oklahoma Statutes). The appointed individual, known as the Agent, will have the power to make healthcare decisions for the Principal in the event that the Principal is unable to communicate or make decisions due to incapacity.

Principal Information:

  • Full Name: _______________________________
  • Address: _________________________________
  • City, State, ZIP: _________________________
  • Date of Birth: ___________________________
  • Phone Number: ___________________________

Agent Information:

  • Full Name: _______________________________
  • Address: _________________________________
  • City, State, ZIP: _________________________
  • Phone Number: ___________________________
  • Email Address: ___________________________

Alternate Agent Information (if primary agent is unable to serve):

  • Full Name: _______________________________
  • Address: _________________________________
  • City, State, ZIP: _________________________
  • Phone Number: ___________________________
  • Email Address: ___________________________

In the event that the primarily appointed Agent is unable or unwilling to serve, the Alternate Agent shall assume all responsibilities as outlined for the primary Agent.

Powers Granted:

The Agent is granted the authority to make health care decisions on the Principal’s behalf, including but not limited to:

  1. Consent to or refuse any medical care, treatment, service, or procedure to maintain, diagnose, or treat a physical or mental condition.
  2. Select or discharge healthcare providers and institutions.
  3. Approve or disapprove diagnostic tests, surgical procedures, and programs of medication.
  4. Direct the provision, withholding, or withdrawal of artificial nutrition and hydration and all other forms of health care, including cardiopulmonary resuscitation.
  5. Access medical records and information to the same extent the Principal is entitled, including the right to disclose the records and information as necessary.

This Medical Power of Attorney becomes effective immediately upon the incapacity of the Principal, as determined by the Principal’s attending physician.

Signature of Principal:

______________________________________ Date: ______________

Signature of Agent:

______________________________________ Date: ______________

Witness Declaration:

This document was executed in our presence. The Principal appeared to be of sound mind and not under duress, fraud, or undue influence.

Witness 1 Signature: ________________________ Date: ____________

Witness 2 Signature: ________________________ Date: ____________

Form Specifics

Fact Name Description
Definition The Oklahoma Medical Power of Attorney allows individuals to designate someone to make healthcare decisions on their behalf if they become unable to do so.
Governing Law This form is governed by the Oklahoma Statutes, Title 63, Section 3101 et seq.
Eligibility Any competent adult can create a Medical Power of Attorney in Oklahoma.
Agent Requirements The designated agent must be at least 18 years old and cannot be the individual's healthcare provider.
Durability The authority granted remains effective even if the principal becomes incapacitated.
Revocation A Medical Power of Attorney can be revoked at any time by the principal, as long as they are competent.
Witness Requirement The form must be signed in the presence of two witnesses or notarized to be valid.
Healthcare Decisions The agent can make a wide range of healthcare decisions, including consent to or refusal of medical treatment.
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