Read the state statutes to find out more about the specific laws in michigan.
Medical power of attorney template michigan.
Michigan durable power of attorney for health care form pdf.
Power of attorney forms are state specific so you need to use a michigan mi power of attorney form that meets the state s.
This power of attorney has effect only if i become unable to participate in treatment decisions.
Advance directives in the state of michigan.
In michigan the patient advocate designation statute is found under.
Michigan has two kinds of advance directives.
Health care power of attorney can be used to appoint an agent to make decisions for you regarding medical treatment in the unfortunate situation where you cannot communicate your wishes yourself.
A power of attorney poa is a document that allows an individual the principal to empower a person of his her choosing the agent or the attorney in fact to perform the principal s business and financial duties when the principal is unable to.
As my attorney in fact herein called patient advocate with the following power to be exercised in my name and for my benefit including but not limited to making decisions regarding my care custody or medical treatment.
The arrangement may be limited to authorizing the representative to handle a single transaction or they can receive total authority to manage the principal s finances.
Michigan power of attorney forms provides a method by which you can appoint someone to represent your interests and act in your place with the same authority you carry this means that the person you appoint will have access to information and the ability to conduct a variety of transactions with your name.
Michigan power of attorney forms.
The michigan medical power of attorney form is used to designate a patient advocate to make all health care decisions for the principal if they become incapacitated due to illness old age or injury.
They are designed with flexibility and are customizable to your content.
Printed materials such as brochures that target external audiences are required to include the current michigan medicine executive officers regents the non discrimination policy statement and copyright language.
The principal and their patient advocate should share similar values as to health care and the advocate should be able to comfortably fulfill the principal s requests when the time comes.
Michigan patient advocate designation form medical poa also known as a medical power of attorney or form dch 3916 allows a person to appoint another individual to speak for them known in michigan as a patient advocate and make health care decisions on their behalf in the event they are unable to do so themselves.
The following templates are available for use by u m faculty staff and students.