• Skip to main content
  • Skip to primary sidebar
  • Skip to footer

Legal Templates

Legal Templates
  • Business Forms
    Business & Contracts

    All of our legal contracts and documents are drafted and regularly updated by attorneys licensed in their respective jurisdictions, paralegals, or subject matter experts. Save your hard-earned money and time with Legal Templates.

    Top Business Forms
    Business Formation
    • Business Plan
    • LLC Operating Agreement
    • Articles of Incorporation
    • Corporate Bylaws
    • Buy-Sell Agreement
    Business Operations
    • Business Contract
    • Partnership Agreement
    • Non-Disclosure Agreement
    • Release of Liability
    • Letter of Intent
    Sales and Payments
    • Purchase Agreement
    • Sales Agreement
    • Invoice
    • Purchase Order
    • Business Purchase
    Employment and HR
    • Employment Contract
    • Employment Offer
    • Employment Verification
    • Freelance Contract
    • Non-Compete Agreement
    View All Business Forms
  • Real Estate Forms
    Real Estate

    All of our legal contracts and documents are drafted and regularly updated by attorneys licensed in their respective jurisdictions, paralegals, or subject matter experts. Save your hard-earned money and time with Legal Templates.

    Top Real Estate Forms
    Landlords
    • Lease Agreement
    • Property Management
    • Eviction Notice
    • Late Rent Notice
    • Lease Termination
    Tenants
    • Room Rental
    • Sublease Agreement
    • Roommate Agreement
    • Notice to Vacate
    • Early Lease Termination
    Home Ownership
    • Real Estate Purchase Agreement
    • Mortgage Deed
    • Quitclaim Deed
    • Deed of Trust
    • Moving Checklist
    View all Real Estate Forms
  • Personal & Family Forms
    Personal and Family

    All of our legal contracts and documents are drafted and regularly updated by attorneys licensed in their respective jurisdictions, paralegals, or subject matter experts. Save your hard-earned money and time with Legal Templates.

    Top Personal and Family Forms
    Estate Planning
    • Power of Attorney
    • Last Will & Testament
    • Living Will
    • Advance Directive
    • DNR Form
    Personal Finance
    • Bill of Sale
    • Loan Agreement
    • Purchase Agreement
    • Promissory Note
    • Sales Agreement
    Family Matters
    • Parenting Plan
    • Child Travel Consent
    • Divorce Agreement
    • Separation Agreement
    • Prenuptial Agreement
    Affidavits
    • General Affidavit
    • Gift Affidavit
    • Affidavit of Identity
    • Affidavit of Residence
    • Affidavit of Death
    View All Personal Forms
  • Support
    Resources
    • Business
    • Real Estate
    • Personal and Family
    • Financial
    • Estate Planning
    Support
    • About Us
    • Careers
    • Contact Us
    • All Legal Documents

    Monday - Friday | 9AM - 7PM EDT

    (855) 335-9779

  • Sign In
  • :email

Home Personal & Family Documents Power of Attorney Medical Michigan

Free Michigan Medical Power of Attorney

Use our Michigan Medical Power of Attorney form to let someone make medical decisions for you if you become unable to do so.

Updated May 15, 2022 | Legally reviewed by Susan Chai, Esq.

A Medical Power of Attorney (MPOA) is a legal document that designates someone else (called a patient advocate or agent) to make your medical decisions for you.

In Michigan, this document may also be called the following:

  • Durable Power of Attorney for healthcare (DPOA-HC)
  • Patient Advocate Designation

Law: Michigan uses the code sections under Act 386 of 1998, Part 5, Durable Power of Attorney and Designation of Patient Advocate to address medical powers of attorney.

The following forms related to a Medical Power of Attorney may also be of interest to you:

  • Living Will: A living will set out specific instructions on how you want to receive end-of-life care. It will describe things like whether you want to be resuscitated or whether you want to receive pain treatments.
  • MI (Financial) Power of Attorney Form: This legal document addresses other aspects of your life that are not related to healthcare, such as real estate, bank accounts, and insurance.

How to Fill in a Medical Power of Attorney in Michigan

Your Medical Power of Attorney form should follow the basic requirements set out in the Michigan MPOA Code. The steps below will help you complete the form.

Step 1: Choose an agent

Only you can decide who your agent should be. Your agent will make medical decisions for you when you cannot tell them your wishes. Therefore, your agent should be able to act with your best interests and desires in mind, regardless of what their personal opinions may be.

Who should you choose as an agent?

Choosing the right agent is a very personal decision. This person should ideally know you very well and should be able to have a level head when you’re not available to give them direction.

Relevant law: Section 700.5501

Who can’t be your agent?

Michigan does not have any restrictions on who cannot be your patient advocate, as long as whoever you designate is at least 18 years old and competent to make decisions on your behalf.

Relevant law: Section 700.5501; Section 700.5506

Can you have more than one agent?

You can designate a successor agent. This person will step in to make your medical decisions for you if the first person you designate is unable, unwilling, or cannot act on your behalf for any reason.

Relevant law: Section 700.5506

Step 2: Specify what healthcare decisions your agent can make

Your Michigan Durable Power of Attorney for Health Care form is broad. That means that if you want to limit your patient advocate’s decision-making power, you will need to specifically state what you do not want your agent to do.

Can you limit your agent’s powers?

Your agent’s powers can be as limited as you would like. However, you must specifically state which powers your agent does not have.

You can also state precise wishes regarding your general health care as well. Examples include things like:

  • How long you would want to be on life-saving machinery
  • Whether you want to remain in a vegetative state
  • Whether you want enough pain medication to make you comfortable during your end-of-life care

Relevant law: Section 700.5509

What is your agent legally unable to do?

Your patient advocate will not be able to make medical decisions on your behalf that would withhold or withdraw life-saving treatment if you’re pregnant. Apart from this limited restriction, your agent will have broad powers to make decisions on your behalf.

Relevant law: Section 700.5509; Section 700.5512

When can your agent start making decisions for you?

Your Durable MPOA form will only take effect once two doctors have determined that you’re not physically or mentally capable of making or communicating your own medical care decisions.

Related law: Section 700.5508; Section 700.5512

Step 3: Sign the form

You must sign the Medical Power of Attorney form before it is considered valid.

There are some very limited exceptions to this general rule. You can also designate a notary to sign on your behalf. This is helpful if you’re physically unable to sign the document, but you’re still of sound mind to finalize the document.

Do you need witnesses or notary signatures?

You must have at least two witnesses see you or the notary sign the durable power of attorney. Witnesses cannot sign if they don’t think that you’re of sound mind. You also should not be under any duress, fraud, or undue influence.

Relevant law: Section 700.5501

Who can’t be a witness?

Witnesses cannot include:

  • The patient advocate that you designated
  • Relatives, including spouses and presumptive heirs
  • Your physician or an employee of your life or health insurance provider
  • Employees of the health care facility or “home for the aged” where you’re living

Relevant law: Section 700.5501; Section 700.5506

How long is your Medical Power of Attorney effective in Michigan?

Your Medical Power of Attorney will remain effective until you revoke it or until you pass, or your wishes regarding organ donation (if specified) have been carried out.

Related law: Section 700.5501

How to Revoke a Michigan Medical Power of Attorney

You can revoke your MPOA. It will be automatically revoked by one or more of the following conditions:

  • Your death, except as to anatomical gifts
  • A court order that demands removal or revocation
  • A new patient advocate designation or MPOA
  • Your agent is your spouse and you have gotten divorced

You can also revoke your Medical Power of Attorney by communicating the revocation in any way, including both orally and in writing.

Relevant law: Section 700.5510

Related Will & Estate Planning Documents

  • Michigan Durable Power of Attorney: Our free Michigan DPOA form lets you choose an agent to act on your behalf even if you become incapacitated.
  • Michigan Power of Attorney: A Michigan Power of Attorney is a written document that officially recognizes a legally binding relationship between two parties -- a Principal and an Agent....
  • DNR Form: States that you refuse resuscitation via CPR in the event that your heart stops beating or you stop breathing.
Michigan medical power of attorney form

Free Michigan Medical Power of Attorney Form

Create Your Michigan Medical Power of Attorney in Minutes!

Legal Documents

  • All Legal Forms
  • Business Forms
  • Real Estate Forms
  • Personal and Family Forms

Popular Forms

  • Lease Agreements
  • Power of Attorney Forms
  • Eviction Notice
  • Living Will
  • Non-Disclosure Agreement

Resources

  • Legal Resources
  • Business
  • Real Estate
  • Personal & Family
  • Estate Planning
  • Financial
  • Covid-19 Resources

Company

  • Pricing
  • About Us
  • Careers
  • Contact Us
  • Partner With Us
  • Legal Dictionary

Users

  • Account
  • Terms of Use
  • Privacy Policy
  • Do Not Sell My Personal Information
McAfee - Together is power.
Trustpilot
BBB Accredited Business

(855) 335-9779, Monday-Friday, 9AM - 7PM EDT

Facebook Twitter LinkedIn

Copyright 2023 Legal Templates LLC. Legal Templates LLC is not a lawyer, or a law firm and does not engage in the practice of law. Legal Templates cannot and does not provide legal advice or legal representation. All information, software and services provided on the site are for informational purposes and self-help only and are not intended to be a substitute for a lawyer or professional legal advice. Use of this site is subject to our Terms of Use. Legaltemplates.net is owned and operated by Resume Technologies Limited, London with offices in London United Kingdom.”

Esc

Free Michigan Medical Power of Attorney

The document above is a sample. Please note that the language you see here may change depending on your answers to the document questionnaire.

Fill in the details

Thank you for downloading one of our free legal templates!

Would you leave us a review?

We hope you've found what you need and are able to avoid the time, costs, and stress associated with dealing with a lawyer.

A review would mean the world to us (it only takes about 15 seconds).

Please check your download folder for MS Word or open tabs for PDF so you can access your FREE Legal Template Sample

Thanks again, and good luck!

Leave My Review