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initial one - Colorado Advance Directives

medical DURABLE power OF attorney FOR HEALTHCARE DECISIONS I. APPOINTMENT OF AGENT AND ALTERNATES I, _____ , Declarant, hereby appoint: Name of Agent Agent s Best Contact Telephone Number Agent s email or alternative telephone number Agent s home address as my Agent to make and communicate my healthcare decisions when I cannot. This gives my Agent the power to consent to, or refuse, or stop any healthcare, treatment, service, or diagnostic procedure.

ADDENDUM TO MEDICAL DURABLE POWER OF ATTORNEY – RECOMMENDED, NOT REQUIRED 1. Signature of the Appointed Agent Although not required by Colorado law, my signature

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