Health Care Power of Attorney (write-in-the-blank forms)


A Health Care Power of Attorney is a legal form that lets you appoint a health care agent to help you and make health care decisions for you. This packet includes 2 optional forms to give additional instructions about specific health care treatments and related decisions. 

The forms come with instructions and a worksheet to help you fill them out. Be sure to read through the instructions before starting the form. Follow the link below to download a copy of the Health Care Power of Attorney


Need More Information? 

If you have any questions about your rights or this form, it would be a good idea to read the MSU Extension’s MontGuide “Financial Power of Attorney for Montanans.”


Need More Help?

  • Montana Legal Services Association provides free civil legal help to eligible clients. Learn more about how to apply for free legal help
  • The Montana Legal Services Developer in the Office on Aging provides free legal help to eligible clients who are over 60 or have a disability. The Legal Services Developer can be contacted by calling (800) 332-2272 (during normal business hours).



Last Review and Update: Apr 08, 2020
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