In Connecticut, a medical power of attorney form allows you to appoint a healthcare representative. This representative has the authority to make healthcare decisions for you if you become incapacitated and cannot make those decisions yourself. However, they can only take action if your doctor decides that you are too ill or unable to make medical choices on your own. It’s important to choose someone you trust for this role, as they will be responsible for making critical medical decisions on your behalf.
Laws
Statute: CGA 19a-570 to 580.
Signing Requirements: Two (2) Witnesses or Notary Public (CGA 19a-576).
At least one of your two witnesses can’t be your healthcare representative, physician, or employee of the health facility in which you’re a patient.
Revocation: It remains in effect until you revoke it or become competent to make your own decisions. You can also put an expiration date on the document if you want it to be temporary. You can revoke it at any time and in any manner by expressing your wishes orally or in writing (CGA 19a-579).
Sample
