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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 a principal (the individual granting authority) when they become incapable of communicating such decisions on their own. Through the power of attorney document, the principal will be able to choose an agent and successor agent, and inform them of the medical procedures they do and do not wish to receive. It is common that this type of power of attorney document is coupled with a living will to ensure that the attending physician and agent know when to withhold, withdraw, or administer life-sustaining procedures.

Laws§ 30-3403

Signing Requirements (§ 30-3404(5)) – Two (2) Witnesses or Notary Public

Statutory Form§ 30-3408


State Definition

Statute§ 30-3402

(10) 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;