Michigan Medical Power of Attorney Form

Create Document

A Michigan medical power of attorney is used by individuals to grant power to a health care agent to make decisions for them when they lose the capacity to do so themselves. The form requires the representative (“patient advocate”) to try to follow the patient’s wishes as communicated in the document or otherwise.

Michigan Medical Power of Attorney Form

A Michigan medical power of attorney is used by individuals to grant power to a health care agent to make decisions for them when they lose the capacity to do so themselves. The form requires the representative (“patient advocate”) to try to follow the patient’s wishes as communicated in the document or otherwise.

Create Document
PDF
PDF

Last updated June 25th, 2024

Document Preview

A Michigan medical power of attorney is used by individuals to grant power to a health care agent to make decisions for them when they lose the capacity to do so themselves. The form requires the representative (“patient advocate”) to try to follow the patient’s wishes as communicated in the document or otherwise.

Downloads: 465
  1. Home »
  2. Power of Attorney »
  3. Michigan »
  4. Medical

Signing Requirements

The principal must sign the power of attorney in the presence of two witnesses, who must also sign the document.[1] The witnesses may not be:

  • Related to the principal.
  • The principal’s physician or patient advocate.
  • Any of the principal’s heirs or devisees.
  • An employee of the elderly home where the principal resides.
  • An employee of the life or health insurance company the principal has a policy with.
  • An employee of a community mental health program or a health care facility providing the principal’s care.

Power of Attorney (Preview)

Revocation

The powers of patient advocate may be revoked in several ways[2]:

  • The principal’s death.
  • A probate court order.
  • An occurrence which triggers a revocation condition contained in the form.
  • The principal clearly communicates their intent to revoke.
  • Divorce, separation, or annulment if the principal’s spouse is the health care agent.
  • Resignation of the patient advocate or removal by court, unless a successor agent is named.

Patients have the right to revoke their patient advocate at any time, regardless of their ability to actively engage in choices about their medical treatment.

Sources

  1. § 700.5506(4)
  2. § 700.5510