Arkansas Medical Power of Attorney Form

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Written by

Ioana Gagiuc

Written by

Ioana Gagiuc

Ioana Gaugic is a legal content editor with a master's degree in criminal science from Dimitrie Cantemir Christian University. Her background as an author and conference speaker has given her a broad perspective on various legal subjects and helps her make the complex world of legal documents accessible to a wider audience.

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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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Last Updated November 13, 2024

An Arkansas medical power of attorney lets you pick someone to make healthcare decisions for you if you can’t speak for yourself. This person is called your agent and will handle your medical care if you’re unable to. In Arkansas, this form is also known as a durable power of attorney for healthcare.

Laws

Statute: § 20-6-101 to 20-6-117 (Arkansas Healthcare Decisions Act).

Signing Requirements: Two (2) Witnesses or Notary Public (AR Code § 20-6-103).

Revocation: It becomes ineffective upon your death, when you cancel it, or if a court cancels it. Also, if your spouse is your agent and you get an annulment or divorce, the document is automatically revoked unless it says otherwise (AR Code § 20-6-104).

Sample

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Arkansas Power of Attorney for Healthcare form that includes sections for entering the principal’s details—such as full name, address, phone number, birth date, and email—and the healthcare agent’s information, including name, address, phone, and email.

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Arkansas Medical Power of Attorney Form