Transcription of Power of Attorney for Health Care
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Power of Attorney for Health Care
State of Wisconsin Department of Health Services Instructions to Complete the Power of Attorney for Health Care Form To Whom It May Concern: Enclosed is the Power of Attorney for Health Care form you requested. The Power of Attorney for Health Care form makes it possible for adults in Wisconsin to authorize other individuals (called Health care agents) to make Health care decisions on their behalf should they become incapacitated. It may also be used to make or refuse to make an anatomical gift (donation of all or part of the human body to take effect upon the death of the donor).
If you have both a Power of Attorney for Health Care and a Declaration to Physicians, the provisions of a valid Power of Attorney for Health Care supersede any directly conflicting provisions of a valid Declaration to Physicians.
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