A Mississippi medical power of attorney form is a legal document that allows you to appoint another individual to make health care decisions on your behalf should you become incapacitated. The person you choose, called your agent, must make medical decisions based on your wishes and in your best interest.
Statute: Title 41, Chapter 41, Uniform Health-Care Decisions Act of the Mississippi Code.
Signing Requirements: You must sign your medical power of attorney in the presence of a notary public or two adult witnesses who can confirm you’re of sound mind and signing willingly (Miss. Code § 41-41-205).
Revocation: You can revoke your medical power of attorney in Mississippi by notifying your healthcare provider in person or in writing, creating a new form, signing a revocation of power of attorney form, or any other method that shows clear intent to revoke. Additionally, if your spouse is your agent, filing for a divorce or legal separation will automatically revoke their powers unless otherwise stated in the document (Miss. Code § 41-41-207).
Download a Mississippi medical power of attorney form below in PDF & Word format.