Wv Medical Power Of Attorney And Living Will
The agent then acts as a power of attorney in case they become so.
Wv medical power of attorney and living will. In the past few years 26 of west virginians who have completed an advance directive have done this form. The free west virginia power of attorney for health care form is a document which legally refers the patients medical health care decisions to a second party known as the agent. A living will is going to state that they either want or will not want. The west virginia medical power of attorney is a document which legally refers the patients medical health care decisions to a second party known as the agent the power of attorney can be total or can be limited to specific details which the principal may choose.
The following forms are statutorily approved. In exercising the authority under this medical power of attorney my representative shall act consistently with my special. Medical power of attorney can be found by clicking on the faqs link on this page. A medical power of attorney is a legal document that allows you to name a person to make health care decisions for you if you are too sick to make them for yourself.
The west virginia living will is a legal document written by a declarant principal that shall explain whether or not the declarant would choose to be on life support if they were to fall terminally ill and likely die without life support or in the event they should fall into a coma or persistent vegetative state. West virginia medical power of attorney form can be employed by a state resident to appoint an individual as a health care agent or representative this will allow the principal s physicians to seek consultation and decisions regarding the principal s medical treatment when he or she is unable to communicate and or unconscious. A combined medical power of attorney and living will may but need not be in the following form and may include other specific directions not inconsistent with other provisions of this article. Should any of the other specific directions be held to.
State of west virginia combined medical power of attorney and living will. In all of these roles they make a difference in their community. A west virginia living will form requires two witness and is invalid when the principal is pregnant. 20 i hereby insert your name and address appoint as my representative to act on my behalf to give withhold or withdraw informed consent to health care decisions in the event that i am not able to do so myself.
The agent then acts as a power of attorney in case the principal become so ill that they are unable to make decisions themselves. So that your combined form can be found in a medical emergency you are encouraged to submit your form to the wv e directive registry by faxing it to 844 616 1415 mailing a copy to the wv e directive. The medical forms are all set forth in code 16 30 4. West virginia s lawyers are service members volunteers mentors coaches musicians and committed advocates.
Download the living will form pdf medical power of attorney. Combined living power indd created date.