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West Virginia Medical Power of Attorney Form

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Updated on October 28th, 2021

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.