PPH Business Checks & Forms

Indiana Power Of Attorney For Health Care
The purpose of this power of attorney is to give the person you (the “principal” or “grantor”) designate (your “agent”) broad powers to make health care decisions for you, including power to require, consent to or withdraw any type of personal care or medical treatment for any physical or mental condition and to admit you to or discharge you from any hospital, home or other institution, but not including psychosurgery, sterilization or involuntary hospitalization or treatment. Among others, this form includes the following key provisions:

• Notice to Third Parties: Provides third parties with important information regarding this Power of Attorney
• Notice to Principal: Provides the Principal with important information regarding this Power of Attorney
• Execution of Living Will : Declares whether a Living Will has been executed
• Appointment of Guardian or Conservator: Nominates a person as the guardian or conservator should one become necessary

This attorney-prepared packet contains:

1. Information and Instructions for the Power of Attorney for Health Care
2. Power of Attorney for Health Care

State Law Compliance: This form complies with the laws of Indiana

You can purchase this Indiana Power Of Attorney For Health Care for $17.95.

Click here to order or get more information.