1. Home »
  2. Power of Attorney »
  3. West Virginia »
  4. West Virginia Medical Power of Attorney Form

West Virginia Medical Power of Attorney Form

Fill Now Click to fill, edit and sign this form now!

The West Virginia medical power of attorney is a health care document that enables a person to appoint a representative to communicate with medical staff and make medical decisions on their behalf. A health care representative should be someone that the principal trusts completely and will always act with their best interests in mind. A medical power of attorney form becomes effective only when the principal is incapacitated and unable to make these important decisions for themselves.

Agent’s Duties§ 16-30-6

LawsChapter 16, Article 30

Signing Requirements (§ 16-30-4) – Two (2) Witnesses and a Notary Public

Statutory Form§ 16-30-4(g)


State Definition

Statute§ 16-30-3(q)

“Medical power of attorney representative” or “representative” means a person, 18 years of age or older, appointed by another person to make health care decisions pursuant to the provisions of § 16-30-6 of this code or similar act of another state and recognized as valid under the laws of this state.