A Connecticut medical power of attorney form gives an appointed health care representative the right to decide on your behalf if you become incapacitated. Your representative can only make decisions if your doctor determines you’re too sick or unable to make your own medical decisions. In Connecticut, the document is also known as an appointment of health care representative.
Laws
- Statute: Sections 19a-570 to 580 of the Connecticut General Statutes Title 19a – Public Health and Well-Being Chapter 368w – Removal of Life Support Systems.
- Signing Requirements: Your medical power of attorney in Connecticut is legal only if it is in writing. Additionally, the document requires notarization and must be signed in front of the notary and two competent witnesses over 18 years of age. At least one of your two witnesses can’t be your health care representative, physician, or employee of the health facility in which you’re a patient (CGA 19a-576).
- Revocation: The document 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. Your physician is legally bound to respect your wishes (CGA 19a-579).
Sample
You can download a Connecticut medical power of attorney form below.
