An Alaska medical power of attorney form gives an individual (the principal) the right to grant another person (the agent or surrogate) the authority to make health care decisions on their behalf should they become incapacitated.
Laws
- Statute: Alaska Statutes Title 13 Chapter 52.
- Signing Requirements: Your signature must be witnessed by either two adult individuals known to you or in the presence of a notary public. Your agent, health care provider or their employees cannot serve as your witnesses. Only one of the two witnesses may be related to the principal by blood, marriage, adoption, or beneficiary of the principal’s estate (Section 13.52.010).
- Revocation: The principal may revoke their Alaska medical power of attorney form at any time, provided they are mentally competent, in writing by creating a revocation of power of attorney or advising the principal’s healthcare provider directly (Section 13.52.020).
Sample
Below you can download an Alaska medical power of attorney form in PDF & Word.
