Illinois Medical Power of Attorney Form

An Illinois medical power of attorney allows a person to appoint a health care agent with the authority to make medical decisions on their behalf if they are incapacitated. The principal will use the form to communicate their health care preferences and specify the agent’s authorities and limitations.

Illinois Medical Power of Attorney Form

An Illinois medical power of attorney allows a person to appoint a health care agent with the authority to make medical decisions on their behalf if they are incapacitated. The principal will use the form to communicate their health care preferences and specify the agent’s authorities and limitations.

Last updated June 14th, 2024

An Illinois medical power of attorney allows a person to appoint a health care agent with the authority to make medical decisions on their behalf if they are incapacitated. The principal will use the form to communicate their health care preferences and specify the agent’s authorities and limitations.

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Signing Requirements

One witness must verify the principal’s signature and sign the document.[1] The signing witness must not be the agent or successor agent, related to the principal or agent, an owner or operator of a health care facility where the principal is treated, the principal’s provider, or a relative of their provider.

Power of Attorney (Preview)

Illinois Medical Power Of Attorney

“Health care agent” means an individual at least 18 years old designated by the principal to make health care decisions of any type, including, but not limited to, anatomical gift, autopsy, or disposition of remains for and on behalf of the individual. A health care agent is a personal representative under state and federal law. The health care agent has the authority of a personal representative under both state and federal law unless restricted specifically by the health care agency.[2]

Revocation

The principal may revoke this power of attorney at any time by[3]:

  • Destroying the document.
  • Executing a written revocation.
  • Expressing the intent to revoke orally or in any other manner in the presence of a witness.
  • Intentionally deleting the document electronically.