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 important medical decisions for you if you’re unconscious or unable to communicate.
Laws
Statute: Title 16, Article 36 of the Indiana Code.
Signing Requirements: Indiana law doesn’t require you to have the document notarized. You must have at least one adult witness your signature (IC §16-36-1-7).
Revocation: Your Indiana medical power of attorney is effective indefinitely until you revoke it. You can also specify a certain 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
Download an Indiana medical power of attorney form below.
