Nebraska Medical Power of Attorney Form

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A Nebraska medical power of attorney is a document that authorizes a designated agent to make health care decisions on behalf of the person executing the form. A medical POA goes into effect if this person, the principal, becomes incapable of making their own decisions. The principal can relay specific healthcare instructions in the form for their agent to follow.

Nebraska Medical Power of Attorney Form

A Nebraska medical power of attorney is a document that authorizes a designated agent to make health care decisions on behalf of the person executing the form. A medical POA goes into effect if this person, the principal, becomes incapable of making their own decisions. The principal can relay specific healthcare instructions in the form for their agent to follow.

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Last updated June 3rd, 2024

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A Nebraska medical power of attorney is a document that authorizes a designated agent to make health care decisions on behalf of the person executing the form. A medical POA goes into effect if this person, the principal, becomes incapable of making their own decisions. The principal can relay specific healthcare instructions in the form for their agent to follow.

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Signing Requirements

The principal must sign a medical POA in the presence of two witnesses or a notary public.[1]

Only one of the witnesses can be an administrator or employee of the principal’s health care provider, and neither witness can be the principal’s[2]:

  • Spouse
  • Parent
  • Child
  • Grandchild
  • Sibling
  • Heir
  • Devisee
  • Attending physician
  • Mental health treatment team member
  • Attorney-in-fact
  • Life or health insurance provider employee

Power of Attorney (Preview)

Legal Definition

“Power of attorney for health care” shall mean a power of attorney executed in accordance with sections 30-3401 to 30-3432 which authorizes a designated attorney in fact to make health care decisions for the principal when the principal is incapable[3]

Revocation

The principal may revoke their medical power of attorney at any time and in any manner.[4]

In situations where the principal’s spouse is also their named representative, the spouse’s appointment is revoked if they divorce or are separated unless otherwise stated in the divorce or separation decree.[5]

Sources

  1. § 30-3404
  2. § 30-3405
  3. § 30-3402(11)
  4. § 30-3420(1)
  5. § 30-3420(6)