An Indiana medical power of attorney form allows you to name a person or entity, called an “agent” or “representative”, to make health care decisions on your behalf. Your agent can let doctors know your wishes and make crucial medical decisions if you’re unconscious or unable to communicate. In Indiana, this document is also known as a health care representative agreement.
Laws
Statute: IC § 16-36.
Signing Requirements: One (1) witness (IC §16-36-1-7).
Revocation: It is effective indefinitely until you revoke it. You can also specify a specific date when the form expires. Although you can revoke it orally in Indiana, recording the revocation and sharing copies with the involved parties is always a good idea (IC §16-36-1-6).
Sample
