A West Virginia Medical Power of Attorney form allows residents to choose a healthcare representative and authorize them to make decisions on their behalf if they become unable to do so.
Laws
Statute: Chapter 16, Article 30
Signing Requirements: Two (2) Witnesses and a Notary Public (§ 16-30-4).
Revocation: Destroy it, notify your healthcare provider in writing, or verbally ask for revocation in the presence of a witness and have them write it down, sign it, and present it to your healthcare provider. If your agent is your spouse, the document is automatically revoked if you get a divorce (§ 16-30-18).
Sample
