Fill and Sign the Power of Attorney for Healthcare Uw Health Form

NOTICE TO PERSON MAKING THIS DOCUMENT YOU HAVE THE RIGHT TO MAKE DECISIONS ABOUT YOUR HEALTH CARE. NO HEALTH CARE MAY BE GIVEN TO YOU OVER YOUR OBJECTION, AND NECESSARY HEALTH CARE MAY NOT BE STOPPED OR WITHHELD IF YOU OBJECT. BECAUSE YOUR HEALTH CARE PROVIDERS IN SOME CASES MAY NOT HAVE HAD THE OPPORTUNITY TO ESTABLISH A LONG-TERM RELATIONSHIP WITH YOU, THEY ARE OFTEN UNFAMILIAR WITH YOUR BELIEFS AND VALUES AND THE DETAILS OF YOUR FAMILY RELATIONSHIPS. THIS POSES A PROBLEM IF YOU BECOME PHYSICALLY OR MENTALLY UNABLE TO MAKE DECISIONS ABOUT YOUR HEALTH CARE. IN ORDER TO AVOID THIS PROBLEM, YOU MAY SIGN THIS LEGAL DOCUMENT TO SPECIFY THE PERSON WHOM YOU WANT TO MAKE HEALTH CARE DECISIONS FOR YOU IF YOU ARE UNABLE TO MAKE THOSE DECISIONS PERSONALLY. THAT PERSON IS KNOWN AS YOUR HEALTH CARE AGENT. YOU SHOULD TAKE SOME TIME TO DISCUSS YOUR THOUGHTS AND BELIEFS ABOUT MEDICAL TREATMENT WITH THE PERSON OR PERSONS WHOM YOU HAVE SPECIFIED. YOU MAY STATE IN THIS DOCUMENT ANY TYPES OF HEALTH CARE THAT YOU DO OR DO NOT DESIRE, AND YOU MAY LIMIT THE AUTHORITY OF YOUR HEALTH CARE AGENT. IF YOUR HEALTH CARE AGENT IS UNAWARE OF YOUR DESIRES WITH RESPECT TO A PARTICULAR HEALTH CARE DECISION, HE OR SHE IS REQUIRED TO DETERMINE WHAT WOULD BE IN YOUR BEST INTERESTS IN MAKING THE DECISION. THIS IS AN IMPORTANT LEGAL DOCUMENT. IT GIVES YOUR AGENT BROAD POWERS TO MAKE HEALTH CARE DECISIONS FOR YOU. IT REVOKES ANY PRIOR POWER OF ATTORNEY FOR HEALTH CARE THAT YOU MAY HAVE MADE. IF YOU WISH TO CHANGE YOUR POWER OF ATTORNEY FOR HEALTH CARE, YOU MAY REVOKE THIS DOCUMENT AT ANY TIME BY DESTROYING IT, BY DIRECTING
Your agent to do so, or by notifying your health care agent immediately of any change in your wishes. Your health care agent will use your signed health care release in making this determination. After your health care agent makes a determination as to what would be in your best interests, it becomes your responsibility to notify your health care agent of any change in your wishes. You may do this by making the appropriate information available to your health care agent in writing, by posting notices to the address (if any) for your health care agent at [address] , or by informing your health care agent in another reasonable manner. Your health care agent has the right to change your health care agent and health care authority at any time. If you have problems or questions while you are receiving health care, it is important that you discuss them immediately with your health care agent (or your health care agent's representative) or with your health care agent's physician. You should be aware that although you have chosen your health care agent, the health care provided may still be provided by medical practitioners. You have the right to insist on having your health care agent's name, address, and telephone number included in any notice you are provided about your medical treatment. This would ensure timely care by your agent even if your health care agent is unavailable for consultations or communication with you. You may terminate this document at any time by sending it to your health care agent through your health care provider or by destroying it. You have a right to revoke and change powers of attorney at any time. Furthermore, you have a right to revoke the health care release which you have signed. If you have any questions about this document or if you feel that your health care has been unduly influenced by an agent, please contact an attorney who is familiar with the laws affecting you. This document does not supersede any other laws of the state of Virginia. A copy of this legal document is available by emailing your attorney. All rights are waived with respect to any information contained in the document, including but not limited to your right to practice law. This document and related materials are made available by a licensed attorney who is not affiliated with the university or the law school and whose contact information may be accessed directly on this home page. Please read all instructions before beginning this process. The process of revoking or changing a health care agent may be complicated and expensive. It is important to discuss this with an attorney whose experience and advice we trust. Contact details are available on this home page.