Massachusetts Medical Power of Attorney Form

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Massachusetts Medical Power of Attorney Form

Last updated May 14th, 2025

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A Massachusetts medical power of attorney allows an individual to select a health care agent to make decisions on their behalf should they become incapacitated. This document, also called a “health care proxy,” gives broad authority to the designated agent, enabling them to make any medical decision that the principal could if they were mentally competent.

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Signing Requirements

The principal must sign the health care proxy in the presence of two witnesses. [1]

Power of Attorney (Preview)

“Health care proxy,” a document delegating to an agent the authority to make health care decisions, executed in accordance with the requirements of this chapter.[2]

Revocation

The principal may revoke their health care proxy in the following ways[3]:

  • By informing their agent or health care provider in any way that expresses their intent to revoke.
  • By executing a new health care proxy.
  • By divorce or legal separation (if the spouse was the health care agent).

Sources

  1. Ch. 201D § 2
  2. Ch. 201D § 1
  3. Ch. 201D § 7