A Pennsylvania Medical Power of Attorney form lets you assign someone to make medical decisions on your behalf if you can’t communicate your wishes. The person you choose, called your agent, can only make medical decisions while you’re incapacitated.
Laws
Statute: Pennsylvania Consolidated Statutes, Title 20, Chapter 54, Subchapter C
Signing Requirements § 5452 and § 5471: Two witnesses are necessary, but notarization is optional.
Revocation § 5459: To revoke your Medical Power of Attorney, you can execute a Revocation of Power of Attorney or inform your doctor or healthcare provider.
Sample
