A New Hampshire Medical Power of Attorney form lets you assign a trusted adult to make health care decisions if and when you cannot make your own. The individual you pick, known as the agent, will handle most medical decisions and is legally obliged to act in your best interests.
Laws
Statute: § 137-J.
Signing Requirements: Two (2) Witnesses or a Notary Public (§ 137-J:14).
Revocation: Create a written declaration delivered to the agent or healthcare provider, orally declare the revocation in front of two witnesses (not your spouse or heir), act in a manner to prove intent to revoke, or execute another advanced directive (§ 137-J:15).
- If your spouse is the agent, getting a divorce, legal separation, or annulment revokes power and hands it to your alternative agent.
- Healthcare providers must record the revocation time and date in their medical records and notify the agent, attending physician, and staff. The agent must also inform the physician and healthcare providers. The revocation takes effect once the attending physician is informed.
Sample
