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Indiana Medical Power of Attorney Form

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Josh Sainsbury

Written by

Josh Sainsbury

Josh Sainsbury is a business content editor with expertise in legal writing. His degree in magazine journalism from Southampton Solent University, combined with 10 years of experience in content creation, has allowed him to produce clear, accessible resources in the legal and business sectors.

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Legally Reviewed by

Susan Chai, Esq.

Legally Reviewed by

Susan Chai, Esq.

Susan Chai is Legal Counsel and a Legal Editor at LegalTemplates, bringing 15 years of experience in corporate law and regulatory compliance. She holds a BS in Business Administration from Carnegie Mellon University and a JD from the University of Baltimore School of Law. She has worked as in-house counsel for a financial services company and as an associate at a global law firm.

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Updated November 18, 2024

An Indiana medical power of attorney form allows you to name a person or entity, called an “agent” or “representative”, to make health care decisions on your behalf. Your agent can let doctors know your wishes and make crucial medical decisions if you’re unconscious or unable to communicate. In Indiana, this document is also known as a health care representative agreement.

Laws

Statute: IC § 16-36.

Signing Requirements: One (1) witness (IC §16-36-1-7).

Revocation: It is effective indefinitely until you revoke it. You can also specify a specific date when the form expires. Although you can revoke it orally in Indiana, recording the revocation and sharing copies with the involved parties is always a good idea (IC §16-36-1-6).

Sample

indiana medical power of attorney template

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